Organization · Type 2 NPI

Lifewell Behavioral Wellness

Mental Illness Community Based Residential Treatment Facility · Mesa, AZ

NPI number 1497837025 Active

Practice location

619 W Southern Ave
Mesa, AZ 85210-5004

Fax (602) 808-2799

Mailing address

202 E. Earll Drive, Suite 200
Phoenix, AZ 85012-2647

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH2277 (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 1497837025

Lifewell Behavioral Wellness's National Provider Identifier is 1497837025, issued on Oct 20, 2006. 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 Dec 14, 2016.