Organization · Type 2 NPI

Terra Medical of Arizona LLC

Mental Illness Community Based Residential Treatment Facility · Casa Grande, AZ

NPI number 1649014077 Active

Practice location

1297 E Avenida Kino
Casa Grande, AZ 85122-1011

Call (520) 709-1586 Map

Fax (602) 235-0405

Mailing address

65 N Pottebaum Rd
Casa Grande, AZ 85122-5326

Other practice locations

1149 E 11th St, Casa Grande, AZ 85122-3609 · (602) 618-3756
65 N Pottebaum Rd, Casa Grande, AZ 85122-5326 · (602) 618-3756
1121 N Olive Ave, Casa Grande, AZ 85122-3418 · (520) 709-1586

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed
Non-emergency Medical Transport (VAN)	343900000X	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 1649014077

Terra Medical of Arizona LLC's National Provider Identifier is 1649014077, issued on Jun 20, 2024. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Casa Grande, AZ. The record was last updated on Jun 20, 2024.