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Bougainvillea Manor Llc
Mental Illness Community Based Residential Treatment Facility in Laveen, Arizona
NPI 1811680713

Bougainvillea Manor Llc is a Mental Illness Community Based Residential Treatment Facility based in New Braunfels, AZ. Bougainvillea Manor Llc practices in Laveen, AZ. The NPI Number for Bougainvillea Manor Llc is 1811680713 and holds a License No. (Arizona).

The current practice location address for Bougainvillea Manor Llc is 6638 S 57Th Ave, Laveen, AZ and can be reached out via phone at 480-239-9648.

Location: 6638 S 57Th Ave, Laveen, AZ, 78132-1695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811680713
Provider Name
Bougainvillea Manor Llc
Credential
Provider Entity Type
Organization
Address
6638 S 57Th Ave, Laveen, AZ, 78132-1695
Phone Number
480-239-9648
Fax Number
Provider Enumeration Date
05/29/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6638 S 57Th Ave
City
Laveen
State
Arizona
Zip
85339-2254
Phone Number
480-239-9648
Fax Number
person
Provider Business Mailing Address Details
Address
6638 S 57Th Ave
City
Laveen
State
Arizona
Zip
85339-2254
Phone Number
480-239-9648
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
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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