Individual provider · Type 1 NPI

Victoria Johnson, SOLE PROPRIETOR

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1730872961 Active

Practice location

2920 N 24th Ave Ste 270
Phoenix, AZ 85015-5961

Call (602) 679-3465 Map

Mailing address

7406 S 29th Ln
Phoenix, AZ 85041-9302

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 1730872961

Victoria Johnson, SOLE PROPRIETOR's National Provider Identifier is 1730872961, issued on Jun 1, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 1, 2023.