Organization · Type 2 NPI
Big John Group Home
Emotionally Disturbed Childrens' Residential Treatment Facility · El Mirage, AZ
Practice location
12514 N 126th Ln
El Mirage, AZ 85335-5206
Fax (623) 546-0161
Mailing address
70 S Val Vista Dr Ste A3 # 44
Gilbert, AZ 85296-1375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 723636 (AZ) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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- Big John Group HomeEmotionally Disturbed Childrens' Residential Treatment Facility El Mirage, AZ NPI 1497808851
About NPI 1255484366
Big John Group Home's National Provider Identifier is 1255484366, issued on Jan 19, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in El Mirage, AZ. The record was last updated on Aug 22, 2020.