Organization · Type 2 NPI

Charles Residential Care LLC

Mental Illness Community Based Residential Treatment Facility · Goodyear, AZ

NPI number 1245602044 Active

Practice location

15813 W Monroe St
Goodyear, AZ 85338-6896

Call (623) 882-1294 Map

Mailing address

15561 W Devonshire Ave
Goodyear, AZ 85395-7772

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH4681 (AZ)
Substance Abuse Rehabilitation Facility 324500000XBH4681 (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.

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About NPI 1245602044

Charles Residential Care LLC's National Provider Identifier is 1245602044, issued on Oct 20, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Goodyear, AZ. The record was last updated on Oct 20, 2015.