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Katie Smith
Mental Illness Community Based Residential Treatment Facility in Chandler, Arizona
NPI 1548887995

Katie Smith is a Mental Illness Community Based Residential Treatment Facility based in North Las Vegas, AZ. Katie Smith practices in Chandler, AZ. The NPI Number for Katie Smith is 1548887995 and holds a License No. (Arizona).

The current practice location address for Katie Smith is 1175 W Pecos Rd, Chandler, AZ and can be reached out via phone at 702-561-3408.

Location: 1175 W Pecos Rd, Chandler, AZ, 89030-5213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548887995
Provider Name
Katie Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1175 W Pecos Rd, Chandler, AZ, 89030-5213
Phone Number
702-561-3408
Fax Number
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85-1717824 05 AZ
institution
Provider Business Practice Location Address Details
Address
1175 W Pecos Rd
City
Chandler
State
Arizona
Zip
85224-5212
Phone Number
702-561-3408
Fax Number
person
Provider Business Mailing Address Details
Address
1175 W Pecos Rd
City
Chandler
State
Arizona
Zip
85224-5212
Phone Number
702-561-3408
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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