Organization · Type 2 NPI

Legacy Village of East Mesa

Mental Illness Community Based Residential Treatment Facility · Mesa, AZ

NPI number 1437377207 Active

Practice location

5037 E. Broadway
Mesa, AZ 85206

Call (480) 924-4073 Map

Fax (480) 396-0191

Mailing address

5037 E Broadway Rd
Mesa, AZ 85206-1301

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XALC5776 (AZ)

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 1437377207

Legacy Village of East Mesa's National Provider Identifier is 1437377207, issued on Apr 24, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 22, 2020.