Organization · Type 2 NPI
Fairlane Group Home LLC
Psychiatric Residential Treatment Facility · Casa Grande, AZ
Practice location
821 W Fairlane Ct
Casa Grande, AZ 85122-6688
Fax (602) 610-5557
Mailing address
16994 W Rio Vista Ln
Goodyear, AZ 85338-7409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric Residential Treatment Facility Primary | 323P00000X | None listed |
Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…
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About NPI 1700528650
Fairlane Group Home LLC's National Provider Identifier is 1700528650, issued on Apr 11, 2022. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Casa Grande, AZ. The record was last updated on Apr 12, 2022.