Organization · Type 2 NPI

Ebenezer House 1 LLC

Mental Illness Community Based Residential Treatment Facility · Queen Creek, AZ

NPI number 1144928920 Active

Practice location

35168 N Magnette Way
Queen Creek, AZ 85142-3916

Call (602) 609-8966 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1144928920

Ebenezer House 1 LLC's National Provider Identifier is 1144928920, issued on Feb 21, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Queen Creek, AZ. The record was last updated on Feb 21, 2023.