Organization · Type 2 NPI

Mary Group Home LLC

Mental Illness Community Based Residential Treatment Facility · Laveen, AZ

NPI number 1356964753 Active

Practice location

8021 S 47th Ln # 169
Laveen, AZ 85339-2393

Call (480) 577-7777 Map

Mailing address

348 S Park Grove Ln
Gilbert, AZ 85296-1731

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1356964753

Mary Group Home LLC's National Provider Identifier is 1356964753, issued on May 20, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Laveen, AZ. The record was last updated on May 20, 2020.