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Life Change Family Services Inc
Children's Substance Abuse Rehabilitation Facility in Maricopa, Arizona
NPI 1518417583

Life Change Family Services Inc is a Children's Substance Abuse Rehabilitation Facility based in Maricopa, AZ and is specialized in Substance Abuse Treatment, Children. Life Change Family Services Inc practices in Maricopa, AZ. The NPI Number for Life Change Family Services Inc is 1518417583 and holds a License No. BH 5008 (Arizona).

The current practice location address for Life Change Family Services Inc is 20018 N Toledo Ave, Maricopa, AZ and can be reached out via phone at 520-374-0072.

Location: 20018 N Toledo Ave, Maricopa, AZ, 85138-5359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518417583
Provider Name
Life Change Family Services Inc
Credential
Provider Entity Type
Organization
Address
20018 N Toledo Ave, Maricopa, AZ, 85138-5359
Phone Number
520-374-0072
Fax Number
Provider Enumeration Date
10/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH 5008 01 AZ ARIZONA DEPARTMENT OF HEALTH LICENSE
institution
Provider Business Practice Location Address Details
Address
20018 N Toledo Ave
City
Maricopa
State
Arizona
Zip
85138-5359
Phone Number
520-374-0072
Fax Number
person
Provider Business Mailing Address Details
Address
20018 N Toledo Ave
City
Maricopa
State
Arizona
Zip
85138-5359
Phone Number
520-374-0072
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
BH 5008 (Arizona)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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