Organization · Type 2 NPI

Bridge Residential Home LLC

Psychiatric Residential Treatment Facility · Laveen, AZ

NPI number 1114781945 Active

Practice location

7343 W Maldonado Rd
Laveen, AZ 85339-7001

Call (602) 354-9252 Map

Mailing address

PO Box 51382
Phoenix, AZ 85076-1382

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XNone listed
Psychiatric Residential Treatment Facility Primary 323P00000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

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About NPI 1114781945

Bridge Residential Home LLC's National Provider Identifier is 1114781945, issued on Feb 12, 2024. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Laveen, AZ. The record was last updated on Feb 12, 2024.