Organization · Type 2 NPI
CCR Intergrated Health
Mental Illness Community Based Residential Treatment Facility · Arizona City, AZ
NPI number
1073908810
Active
Practice location
12268 W Delwood Drive, 3699
Arizona City, AZ 85123
Mailing address
P.o. Box 3699
Arizona City, AZ 85123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Psychiatric Residential Treatment Facility | 323P00000X | 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 1073908810
CCR Intergrated Health's National Provider Identifier is 1073908810, issued on Mar 30, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Arizona City, AZ. The record was last updated on Mar 30, 2015.