Organization · Type 2 NPI
Changing Lives
Mental Illness Community Based Residential Treatment Facility · Goodyear, AZ
NPI number
1508453887
Active
Practice location
17637 W Buchanan St
Goodyear, AZ 85338-2577
Fax (623) 440-6557
Mailing address
PO Box 7405
Goodyear, AZ 85338-0641
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.
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About NPI 1508453887
Changing Lives's National Provider Identifier is 1508453887, issued on Dec 21, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Goodyear, AZ. The record was last updated on Dec 21, 2020.