Organization · Type 2 NPI

Fairlane Group Home LLC

Psychiatric Residential Treatment Facility · Casa Grande, AZ

NPI number 1700528650 Active

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

TaxonomyCodeLicense
Psychiatric Residential Treatment Facility Primary 323P00000XNone 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.