Organization · Type 2 NPI

Williams Sudan Guest Homes

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chandler, AZ

NPI number 1295965531 Active

Practice location

15111 E Via De Olivos Rd
Chandler, AZ 85249-7423

Call (480) 751-7483 Map

Fax (480) 895-8399

Mailing address

4133 East Glenagele Dr
Chandler, AZ 85249-7423

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	BH-3215 (AZ)
Community/Behavioral Health Agency	251S00000X	BH-3215 (AZ)
Adult Mental Health Clinic/Center	261QM0850X	BH-3215 (AZ)
Methadone Clinic	261QM2800X	BBH-3215 (AZ)
Physical Therapy Clinic/Center	261QP2000X	BH-3215 (AZ)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	BH-3215 (AZ)
Occupational Medicine Clinic/Center	261QX0100X	BH-3215 (AZ)
Mental Illness Community Based Residential Treatment Facility	320800000X	BH-3215 (AZ)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	BH-3215 (AZ)
Children's Substance Abuse Rehabilitation Facility	3245S0500X	BH-3215 (AZ)
Private Vehicle	347C00000X	BH-3215 (AZ)

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.

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Chandler

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NPI record

NPI: 1295965531
Entity type: Organization (Type 2)
Issued: Jul 21, 2009
Last updated: Jul 21, 2009
Status: Active

Other names

<unavail>
Gleneagle Residential Care & Adult Day Treatment Services · doing business as

Authorized official

Ms. Evelyn Willlliams
Clinical Director
(480) 751-7483

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About NPI 1295965531

Williams Sudan Guest Homes's National Provider Identifier is 1295965531, issued on Jul 21, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Chandler, AZ. The record was last updated on Jul 21, 2009.