Individual provider · Type 1 NPI
Jheremy Pete
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Phoenix, AZ
Practice location
1718 N 77th Gln
Phoenix, AZ 85035-5053
Other practice locations
- 1718 N 77th Gln, Phoenix, AZ 85035-5053 · (623) 337-0256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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- Mehry Lyn Moses, CLSIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Phoenix, AZ NPI 1659987998
About NPI 1225708654
Jheremy Pete's National Provider Identifier is 1225708654, issued on Sep 16, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 1, 2021.