Organization · Type 2 NPI

Prestige Residential Home LLC

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

NPI number 1154061398 Active

Practice location

22367 E Desert Spoon Dr
Queen Creek, AZ 85142-1235

Call (480) 307-9984 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 1154061398

Prestige Residential Home LLC's National Provider Identifier is 1154061398, issued on Mar 29, 2022. 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 Mar 29, 2022.