Organization · Type 2 NPI

Soul Purpose Transitional Home LLC

Mental Illness Community Based Residential Treatment Facility · Buckeye, AZ

NPI number 1114659596 Active

Practice location

30041 W Earll Dr
Buckeye, AZ 85396-3178

Mailing address

PO Box 8612
Surprise, AZ 85374-0126

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone 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.

2 other providers at this address

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About NPI 1114659596

Soul Purpose Transitional Home LLC's National Provider Identifier is 1114659596, issued on Jun 25, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Buckeye, AZ. The record was last updated on Nov 15, 2022.