Organization · Type 2 NPI

State of Arizona State Dept of Finance

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1447873732 Active

Practice location

2500 E Van Buren St
Phoenix, AZ 85008-6037

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None 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.

35 other providers at this address

Other mental illness community based residential treatment facility providers in Phoenix

See all in Phoenix →

NPI record

NPI: 1447873732
Entity type: Organization (Type 2)
Issued: May 21, 2020
Last updated: May 21, 2020
Status: Active
Subpart: Yes of State of Arizona State Dept of Finance

Other names

Arizona Community Protection and Treatment Center (acptc) · other name

Authorized official

Mr. Aaron Bowen, PSY.D.
Chief Executive Officer
(602) 220-7000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1447873732

State of Arizona State Dept of Finance's National Provider Identifier is 1447873732, issued on May 21, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on May 21, 2020.