institution
605 S 30th Circle Llc
Mental Illness Community Based Residential Treatment Facility in Mesa, Arizona
NPI 1649972605

605 S 30th Circle Llc is a Mental Illness Community Based Residential Treatment Facility based in Mesa, AZ. 605 S 30th Circle Llc practices in Mesa, AZ. The NPI Number for 605 S 30th Circle Llc is 1649972605 and holds a License No. (Arizona).

The current practice location address for 605 S 30th Circle Llc is 605 S 30Th Cir, Mesa, AZ and can be reached out via phone at 480-760-5303. You can also correspond with 605 S 30th Circle Llc through the mailing address at 605 S 30TH CIR, MESA, AZ - 85204-3119 (mailing address contact number: 480-760-5303).

Location: 605 S 30Th Cir, Mesa, AZ, 85204-3119
institution
Provider Profile Details
NPI Number
1649972605
Provider Name
605 S 30th Circle Llc
Credential
Provider Entity Type
Organization
Address
605 S 30Th Cir, Mesa, AZ, 85204-3119
Phone Number
480-760-5303
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85-3931252 05 AZ
institution
Provider Business Practice Location Address Details
Address
605 S 30Th Cir
City
State
Zip
85204-3119
Phone Number
480-760-5303
Fax Number
person
Provider Business Mailing Address Details
Address
605 S 30Th Cir
City
State
Zip
85204-3119
Phone Number
480-760-5303
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
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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