Individual provider · Type 1 NPI

Chimene Baraka

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1740046697 Active

Practice location

8018 W Cordes Rd
Phoenix, AZ 85043-1443

Call (602) 388-0922 Map

Mailing address

4000 N Central Ave Ste 100
Phoenix, AZ 85012-3520

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH9557 (AZ)
Respite Care 385H00000XNone 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 1740046697

Chimene Baraka's National Provider Identifier is 1740046697, issued on Feb 27, 2024. 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 May 1, 2024.