institution
Valley Independent Residential Llc
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1558704809

Valley Independent Residential Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Valley Independent Residential Llc practices in Phoenix, AZ. The NPI Number for Valley Independent Residential Llc is 1558704809 and holds a License No. BH4203 (Arizona).

The current practice location address for Valley Independent Residential Llc is 6408 W Gross Ave, Phoenix, AZ and can be reached out via phone at 623-907-1142 and via fax at 623-907-1143. You can also correspond with Valley Independent Residential Llc through the mailing address at 6408 W GROSS AVE, PHOENIX, AZ - 85043-5778 (mailing address contact number: 623-907-1142).

Location: 6408 W Gross Ave, Phoenix, AZ, 85043-5778
institution
Provider Profile Details
NPI Number
1558704809
Provider Name
Valley Independent Residential Llc
Credential
Provider Entity Type
Organization
Address
6408 W Gross Ave, Phoenix, AZ, 85043-5778
Phone Number
623-907-1142
Fax Number
623-907-1143
Provider Enumeration Date
04/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6408 W Gross Ave
City
State
Zip
85043
Phone Number
623-907-1142
Fax Number
623-907-1143
person
Provider Business Mailing Address Details
Address
6408 W Gross Ave
City
State
Zip
85043
Phone Number
623-907-1142
Fax Number
623-907-1143
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH4203 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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