Organization · Type 2 NPI

Eureka Imperial Residence 3

Mental Illness Community Based Residential Treatment Facility · Gilbert, AZ

NPI number 1679092506 Active

Practice location

1080 E Clifton Ave
Gilbert, AZ 85295-1135

Call (480) 264-2647 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1679092506

Eureka Imperial Residence 3's National Provider Identifier is 1679092506, issued on Sep 12, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gilbert, AZ. The record was last updated on Jul 21, 2022.