Individual provider · Type 1 NPI
Ahmen McCray
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Phoenix, AZ
Practice location
2719 W Grenadine Rd
Phoenix, AZ 85041-3426
Mailing address
6511 W Branham Ln
Laveen, AZ 85339-2723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1609546100
Ahmen McCray's National Provider Identifier is 1609546100, issued on Sep 16, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 16, 2021.