Organization · Type 2 NPI
Providence Behavioral Health LLC
Mental Illness Community Based Residential Treatment Facility · Tolleson, AZ
NPI number
1700527637
Active
Practice location
8714 W Pioneer St
Tolleson, AZ 85353-8618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 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 1700527637
Providence Behavioral Health LLC's National Provider Identifier is 1700527637, issued on Apr 5, 2022. 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 Apr 5, 2022.