Organization · Type 2 NPI

Pha Residential LLC

Mental Illness Community Based Residential Treatment Facility · Laveen, AZ

NPI number 1396597753 Active

Practice location

5312 W Stargazer Pl
Laveen, AZ 85339-4512

Call (602) 502-6238 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Registered Nurse 163W00000XNone listed
Case Management Agency 251B00000XNone listed
Public Health or Welfare Agency 251K00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed
Psychiatric Residential Treatment Facility 323P00000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed
Children's Substance Abuse Rehabilitation Facility 3245S0500XNone 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 1396597753

Pha Residential LLC's National Provider Identifier is 1396597753, issued on Apr 1, 2024. 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 Apr 2, 2024.