Organization · Type 2 NPI

Alpine Villa LLC

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1225697386 Active

Practice location

2144 W Luke Ave
Phoenix, AZ 85015-2319

Mailing address

8845 W Potter Dr
Peoria, AZ 85382-6428

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
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 1225697386

Alpine Villa LLC's National Provider Identifier is 1225697386, issued on Jun 11, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 21, 2020.