Individual provider · Type 1 NPI

Evelyn Williams, CLINICAL DIRECTOR

Mental Illness Community Based Residential Treatment Facility · Mesa, AZ

NPI number 1548417231 Active

Practice location

20348 E Warner Rd
Mesa, AZ 85212-9655

Call (480) 751-7483 Map

Fax (480) 279-3828

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Poetry Therapist 102X00000XNone listed
Lodging Provider 177F00000XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed
Private Vehicle 347C00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Counselor 101Y00000XNone listed
Adult Day Care Clinic/Center 261QA0600XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone 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 1548417231

Evelyn Williams, CLINICAL DIRECTOR's National Provider Identifier is 1548417231, issued on Aug 25, 2008. 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 Nov 9, 2009.