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Direct Connect Ventures Llc
Child Mental Illness Respite Care in Cottonwood, Arizona
NPI 1730553058

Direct Connect Ventures Llc is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Direct Connect Ventures Llc practices in Cottonwood, AZ. The NPI Number for Direct Connect Ventures Llc is 1730553058 and holds a License No. OTC6593 (Arizona).

The current practice location address for Direct Connect Ventures Llc is 1760 E Villa Dr Ste A, Cottonwood, AZ and can be reached out via phone at 520-371-3782. You can also correspond with Direct Connect Ventures Llc through the mailing address at 26 E BASELINE RD, PHOENIX, AZ - 85042-6951 (mailing address contact number: 602-362-5100).

Location: 1760 E Villa Dr Ste A, Cottonwood, AZ, 85042-6951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730553058
Provider Name
Direct Connect Ventures Llc
Credential
Provider Entity Type
Organization
Address
1760 E Villa Dr Ste A, Cottonwood, AZ, 85042-6951
Phone Number
520-371-3782
Fax Number
Provider Enumeration Date
11/24/2015
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1548741812 05 AZ
1649939539 05 AZ
institution
Provider Business Practice Location Address Details
Address
1760 E Villa Dr Ste A
City
Cottonwood
State
Arizona
Zip
86326-4679
Phone Number
520-371-3782
Fax Number
person
Provider Business Mailing Address Details
Address
1760 E Villa Dr Ste A
City
Cottonwood
State
Arizona
Zip
86326-4679
Phone Number
520-371-3782
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 6
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
OTC6593 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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