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Jussamal Manor 11
Mental Illness Community Based Residential Treatment Facility in Chandler, Arizona
NPI 1770931966

Jussamal Manor 11 is a Mental Illness Community Based Residential Treatment Facility based in Chandler, AZ. Jussamal Manor 11 practices in Chandler, AZ. The NPI Number for Jussamal Manor 11 is 1770931966 and holds a License No. BH4726 (Arizona).

The current practice location address for Jussamal Manor 11 is 641 S. Karen Dr., Chandler, AZ and can be reached out via phone at 480-621-8640 and via fax at 480-257-3447.

Location: 641 S. Karen Dr., Chandler, AZ, 85224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770931966
Provider Name
Jussamal Manor 11
Credential
Provider Entity Type
Organization
Address
641 S. Karen Dr., Chandler, AZ, 85224
Phone Number
480-621-8640
Fax Number
480-257-3447
Provider Enumeration Date
05/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
641 S. Karen Dr.
City
Chandler
State
Arizona
Zip
85224
Phone Number
480-621-8640
Fax Number
480-257-3447
person
Provider Business Mailing Address Details
Address
641 S. Karen Dr.
City
Chandler
State
Arizona
Zip
85224
Phone Number
480-621-8640
Fax Number
480-257-3447
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
BH4726 (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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