institution
Ebenezer House, Llc
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1891262556

Ebenezer House, Llc is a Mental Illness Community Based Residential Treatment Facility based in Gilbert, AZ. Ebenezer House, Llc practices in Phoenix, AZ. The NPI Number for Ebenezer House, Llc is 1891262556 and holds a License No. (Arizona).

The current practice location address for Ebenezer House, Llc is 4055 N 77Th Dr, Phoenix, AZ and can be reached out via phone at 602-686-3318.

Location: 4055 N 77Th Dr, Phoenix, AZ, 85234-1458
institution
Provider Profile Details
NPI Number
1891262556
Provider Name
Ebenezer House, Llc
Credential
Provider Entity Type
Organization
Address
4055 N 77Th Dr, Phoenix, AZ, 85234-1458
Phone Number
602-686-3318
Fax Number
Provider Enumeration Date
10/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4055 N 77Th Dr
City
State
Zip
85033-3618
Phone Number
602-686-3318
Fax Number
person
Provider Business Mailing Address Details
Address
4055 N 77Th Dr
City
State
Zip
85033-3618
Phone Number
602-686-3318
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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