Organization · Type 2 NPI

Nirvana Squared LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Phoenix, AZ

NPI number 1073188629 Active

Practice location

1027 E Seldon Ln
Phoenix, AZ 85020-3259

Call (301) 366-5675 Map

Mailing address

7426 E Stetson Dr Unit 3017E
Scottsdale, AZ 85251-3877

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1073188629

Nirvana Squared LLC's National Provider Identifier is 1073188629, issued on May 26, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Phoenix, AZ. The record was last updated on May 26, 2021.