Organization · Type 2 NPI

Baraka House LLC

Assisted Living Facility (Mental Illness) · Phoenix, AZ

NPI number 1104084383 Active

Practice location

13619 N 36th Ave
Phoenix, AZ 85029-1103

Call (602) 824-9100 Map

Fax (602) 249-8900

Mailing address

10000 N 31st Ave Ste A107
Phoenix, AZ 85051-9582

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility (Mental Illness) Primary	3104A0625X	BH 3059 (AZ)

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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About NPI 1104084383

Baraka House LLC's National Provider Identifier is 1104084383, issued on May 24, 2008. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 13, 2022.