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
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None 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.