Organization · Type 2 NPI

Shining Hearts Residential Treatment Center LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Maricopa, AZ

NPI number 1205599016 Active

Practice location

21352 N Denton Dr
Maricopa, AZ 85138-9559

Call (469) 401-8195 Map

Mailing address

44920 W Hathaway Ave Unit 658
Maricopa, AZ 85139-9937

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	None listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

3 other providers at this address

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About NPI 1205599016

Shining Hearts Residential Treatment Center LLC's National Provider Identifier is 1205599016, issued on Oct 19, 2021. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Maricopa, AZ. The record was last updated on Oct 19, 2021.