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
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | 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.
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.