Organization · Type 2 NPI
Kewala Corporations
Mental Illness Community Based Residential Treatment Facility · Casa Grande, AZ
NPI number
1073158846
Active
Practice location
556 W Mirage Loop
Casa Grande, AZ 85122-6133
Fax (520) 447-7709
Mailing address
491 E Black Diamond Dr
Casa Grande, AZ 85122-8880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None 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.
2 other providers at this address
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About NPI 1073158846
Kewala Corporations's National Provider Identifier is 1073158846, issued on Nov 15, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Casa Grande, AZ. The record was last updated on Nov 15, 2019.