Organization · Type 2 NPI

Potters Place, LLC

Community/Behavioral Health Agency · Phoenix, AZ

NPI number 1306174115 Active

Practice location

8629 W Roanoke Ave
Phoenix, AZ 85037-3519

Fax (623) 873-6127

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XBH3284 (AZ)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1306174115

Potters Place, LLC's National Provider Identifier is 1306174115, issued on Dec 7, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 7, 2009.