Organization · Type 2 NPI

Big John Group Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Chandler, AZ

NPI number 1528111622 Active

Practice location

1540 E Whitten St
Chandler, AZ 85225-2215

Fax (623) 546-0161

Mailing address

70 S Val Vista Dr Ste A3 # 488
Gilbert, AZ 85296-1375

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X723644 (AZ)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1528111622

Big John Group Home's National Provider Identifier is 1528111622, issued on Jan 19, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Chandler, AZ. The record was last updated on Aug 22, 2020.