institution
Exclusive Certified Residential Care, Llc
Mental Illness Community Based Residential Treatment Facility in Kingman, Arizona
NPI 1629528716

Exclusive Certified Residential Care, Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Exclusive Certified Residential Care, Llc practices in Kingman, AZ. The NPI Number for Exclusive Certified Residential Care, Llc is 1629528716 and holds a License No. BH4985 (Arizona).

The current practice location address for Exclusive Certified Residential Care, Llc is 3744 Martingale Dr, Kingman, AZ and can be reached out via phone at 928-255-1747 and via fax at 928-255-1741. You can also correspond with Exclusive Certified Residential Care, Llc through the mailing address at 33105 N 23RD AVE, PHOENIX, AZ - 85085-5088 (mailing address contact number: 623-285-9595).

Location: 3744 Martingale Dr, Kingman, AZ, 85085-5088
institution
Provider Profile Details
NPI Number
1629528716
Provider Name
Exclusive Certified Residential Care, Llc
Credential
Provider Entity Type
Organization
Address
3744 Martingale Dr, Kingman, AZ, 85085-5088
Phone Number
928-255-1747
Fax Number
928-255-1741
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3744 Martingale Dr
City
State
Zip
86409-2994
Phone Number
928-255-1747
Fax Number
928-255-1741
person
Provider Business Mailing Address Details
Address
3744 Martingale Dr
City
State
Zip
86409-2994
Phone Number
928-255-1747
Fax Number
928-255-1741
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH4985 (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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