Organization · Type 2 NPI

145th Lane

Mental Illness Community Based Residential Treatment Facility · Surprise, AZ

NPI number 1083876825 Active

Practice location

15266 N 145th Ln
Surprise, AZ 85379-8519

Call (602) 441-2691 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH - 3107 (AZ)

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 1083876825

145th Lane's National Provider Identifier is 1083876825, issued on Jul 1, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Surprise, AZ. The record was last updated on Jul 1, 2008.