Organization · Type 2 NPI
The Restoration Home
Mental Illness Community Based Residential Treatment Facility · Tolleson, AZ
NPI number
1619759990
Active
Practice location
3827 S 101st Dr
Tolleson, AZ 85353-4138
Mailing address
9301 W Rascon Loop
Phoenix, AZ 85037-6310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Lodging Provider | 177F00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Public Health or Welfare Agency | 251K00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | None listed |
| Psychiatric Residential Treatment Facility | 323P00000X | 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 1619759990
The Restoration Home's National Provider Identifier is 1619759990, issued on Oct 20, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tolleson, AZ. The record was last updated on Oct 20, 2023.