Organization · Type 2 NPI
The Heritage Behavioral Health Home LLC
Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
NPI number
1114536752
Active
Practice location
3927 W Rovey Ave
Phoenix, AZ 85019-1633
Other practice locations
- 4132 W Purdue Ave, Phoenix, AZ 85051-1073 · (973) 270-4676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 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 1114536752
The Heritage Behavioral Health Home LLC's National Provider Identifier is 1114536752, issued on Jul 29, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 12, 2020.