Organization · Type 2 NPI
Tracey Nicole Miller
Assisted Living Facility (Mental Illness) · Avondale, AZ
Practice location
12641 W Merrell St
Avondale, AZ 85323-6629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | BH2685 (AZ) |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1457406589
Tracey Nicole Miller's National Provider Identifier is 1457406589, issued on Jan 25, 2007. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Avondale, AZ. The record was last updated on Aug 22, 2020.