Organization · Type 2 NPI
2047 W Keim Management LLC
Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
NPI number
1245882364
Active
Practice location
2047 W Keim Dr
Phoenix, AZ 85015-1527
Fax (602) 429-8149
Mailing address
14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260-8847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Mental Illness Intermediate Care Facility | 310500000X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | 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 1245882364
2047 W Keim Management LLC's National Provider Identifier is 1245882364, issued on Jul 9, 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 Jul 9, 2019.