Organization · Type 2 NPI

Exclusive Certified Residential Care, LLC

Mental Illness Community Based Residential Treatment Facility · Kingman, AZ

NPI number 1629528716 Active

Practice location

3744 Martingale Dr
Kingman, AZ 86409-2994

Call (928) 255-1747 Map

Fax (928) 255-1741

Mailing address

33105 N 23rd Ave
Phoenix, AZ 85085-5088

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH4985 (AZ)

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 1629528716

Exclusive Certified Residential Care, LLC's National Provider Identifier is 1629528716, issued on Oct 12, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Kingman, AZ. The record was last updated on Oct 12, 2016.