Organization · Type 2 NPI

Wagoner Care LLC

Mental Illness Community Based Residential Treatment Facility · Glendale, AZ

NPI number 1093373318 Active

Practice location

6127 W Wagoner Rd
Glendale, AZ 85308-1150

Call (602) 334-1788 Map

Mailing address

8465 W Grand Ave
Peoria, AZ 85345-8102

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1093373318

Wagoner Care LLC's National Provider Identifier is 1093373318, issued on Jun 1, 2019. 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 Jun 11, 2019.