Organization · Type 2 NPI

Eureka Annex Residence

Mental Illness Community Based Residential Treatment Facility · Gilbert, AZ

NPI number 1043634769 Active

Practice location

2668 S Heritage Dr
Gilbert, AZ 85295-7164

Call (480) 264-2647 Map

Mailing address

1740 S Heritage Dr
Gilbert, AZ 85295-4851

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

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 1043634769

Eureka Annex Residence's National Provider Identifier is 1043634769, issued on Feb 17, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gilbert, AZ. The record was last updated on Feb 17, 2014.