Organization · Type 2 NPI

Independence Coaching, L.l.c.

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

NPI number 1073726162 Active

Practice location

1345 E Butler Dr
Phoenix, AZ 85020-3824

Call (602) 524-0583 Map

Fax (602) 297-6758

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1073726162

Independence Coaching, L.l.c.'s National Provider Identifier is 1073726162, issued on May 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 22, 2020.