Organization · Type 2 NPI

Tri-Phase Group Inc

Children's Substance Abuse Rehabilitation Facility · Mesa, AZ

NPI number 1043483704 Active

Practice location

2355 E Elmwood St
Mesa, AZ 85213-5909

Fax (623) 474-6516

Mailing address

18403 W Verdin Rd
Goodyear, AZ 85338-5081

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XBH-2891 (AZ)

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1043483704

Tri-Phase Group Inc's National Provider Identifier is 1043483704, issued on Apr 2, 2008. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Mesa, AZ. The record was last updated on Jun 26, 2008.