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Tri-phase Group Home Inc
Children's Substance Abuse Rehabilitation Facility in Mesa, Arizona
NPI 1578736039

Tri-phase Group Home Inc is a Children's Substance Abuse Rehabilitation Facility based in Goodyear, AZ and is specialized in Substance Abuse Treatment, Children. Tri-phase Group Home Inc practices in Mesa, AZ. The NPI Number for Tri-phase Group Home Inc is 1578736039 and holds a License No. BH-3081 (Arizona).

The current practice location address for Tri-phase Group Home Inc is 111 S Lazona Dr, Mesa, AZ and can be reached out via phone at 623-474-6326 and via fax at 623-474-6516.

Location: 111 S Lazona Dr, Mesa, AZ, 85338-5081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578736039
Provider Name
Tri-phase Group Home Inc
Credential
Provider Entity Type
Organization
Address
111 S Lazona Dr, Mesa, AZ, 85338-5081
Phone Number
623-474-6326
Fax Number
623-474-6516
Provider Enumeration Date
04/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 S Lazona Dr
City
Mesa
State
Arizona
Zip
85204-1222
Phone Number
623-474-6326
Fax Number
623-474-6516
person
Provider Business Mailing Address Details
Address
111 S Lazona Dr
City
Mesa
State
Arizona
Zip
85204-1222
Phone Number
623-474-6326
Fax Number
623-474-6516
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-3081 (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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