Organization · Type 2 NPI
Miss A's LLC
Mental Illness Community Based Residential Treatment Facility · Peoria, AZ
NPI number
1447795992
Active
Practice location
8606 N 68th Ln
Peoria, AZ 85345-8451
Fax (623) 234-2475
Mailing address
5421 W Desert Hills Dr
Glendale, AZ 85304-2703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH5029 (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 1447795992
Miss A's LLC's National Provider Identifier is 1447795992, issued on Dec 19, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Peoria, AZ. The record was last updated on Apr 5, 2017.