Organization · Type 2 NPI
Az Interact LLC
Mental Illness Community Based Residential Treatment Facility · Glendale, AZ
NPI number
1073319968
Active
Practice location
6427 W Wethersfield Rd
Glendale, AZ 85304-1629
Fax (623) 398-8980
Mailing address
2325 W Desperado Way
Phoenix, AZ 85085-5777
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.
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About NPI 1073319968
Az Interact LLC's National Provider Identifier is 1073319968, issued on Feb 20, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Glendale, AZ. The record was last updated on Feb 21, 2025.