Organization · Type 2 NPI
Big John Group Home, LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Chandler, AZ
Practice location
3126 N Pleasant Dr
Chandler, AZ 85225-1845
Fax (623) 546-0161
Mailing address
70 S Val Vista Dr Ste A3
Gilbert, AZ 85296-1375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH-1735 (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 1598812836
Big John Group Home, LLC's National Provider Identifier is 1598812836, issued on Jan 5, 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.