Individual provider · Type 1 NPI
Lucy Angelina Carrasco
Mental Illness Community Based Residential Treatment Facility · Scottsdale, AZ
NPI number
1215430814
Active
Practice location
12558 N 76th St
Scottsdale, AZ 85260-4808
Fax (480) 595-3175
Mailing address
PO Box 910
Carefree, AZ 85377-0910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH5328 (AZ) |
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.
About NPI 1215430814
Lucy Angelina Carrasco's National Provider Identifier is 1215430814, issued on Mar 10, 2018. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Scottsdale, AZ. The record was last updated on Mar 10, 2018.