Organization · Type 2 NPI
Basami House,llc
Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
NPI number
1609423417
Active
Practice location
125 W Villa Rita Dr
Phoenix, AZ 85023-6450
Fax (623) 322-9790
Mailing address
PO Box 42927
Phoenix, AZ 85080-2927
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 1609423417
Basami House,llc's National Provider Identifier is 1609423417, issued on Aug 26, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 26, 2019.