Phoenix Residential Care Llc - Phoenix, AZ

Phoenix Residential Care Llc

Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona

NPI 1588108534

Phoenix Residential Care Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Phoenix Residential Care Llc practices in Phoenix, AZ. The NPI Number for Phoenix Residential Care Llc is 1588108534 and holds a License No. BH5032 (Arizona).

The current practice location address for Phoenix Residential Care Llc is 3101 W Larkspur Dr, Phoenix, AZ and can be reached out via phone at 480-939-0826 and via fax at 602-518-6894.

Location: 3101 W Larkspur Dr, Phoenix, AZ, 85029-2331

NPI Number

1588108534

Provider Name

Phoenix Residential Care Llc

Credential

Provider Entity Type

Organization

Address

3101 W Larkspur Dr, Phoenix, AZ, 85029-2331

Phone Number

480-939-0826

Fax Number

602-518-6894

Provider Enumeration Date

12/10/2016

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
103TM1800X	01	AZ	BEHAVIORAL HEALTH RESIDENTIAL

Address

3101 W Larkspur Dr

City

Phoenix

State

Arizona

Zip

85029-2331

Phone Number

480-939-0826

Fax Number

602-518-6894

Address

3101 W Larkspur Dr

City

Phoenix

State

Arizona

Zip

85029-2331

Phone Number

480-939-0826

Fax Number

602-518-6894

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

BH5032 (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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