Organization · Type 2 NPI

Eureka Imperial Residence

Mental Illness Community Based Residential Treatment Facility · Gilbert, AZ

NPI number 1679704381 Active

Practice location

1740 S Heritage Drive
Gilbert, AZ 85296

Fax (480) 264-2647

Mailing address

7110 S Champagne Way
Gilbert, AZ 85298-9122

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH3319 (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 1679704381

Eureka Imperial Residence's National Provider Identifier is 1679704381, issued on Jul 29, 2009. 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 29, 2009.