Organization · Type 2 NPI

Mary Group Home LLC

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1033645668 Active

Practice location

15111 N 33rd Pl
Phoenix, AZ 85032-4552

Call (623) 565-3922 Map

Mailing address

2084 E Washington Ave
Gilbert, AZ 85234-6229

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	BH5112 (AZ)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1033645668

Mary Group Home LLC's National Provider Identifier is 1033645668, issued on May 2, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 3, 2025.