Individual provider · Type 1 NPI

Daniel Fowler

Mental Illness Community Based Residential Treatment Facility · Tucson, AZ

NPI number 1740865807 Active

Practice location

3238 S Lakeside Ridge Loop
Tucson, AZ 85730-2700

Call (520) 971-1398 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Respite Care 385H00000XBH6623 (AZ)
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 1740865807

Daniel Fowler's National Provider Identifier is 1740865807, issued on Mar 10, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tucson, AZ. The record was last updated on Sep 3, 2024.