Individual provider · Type 1 NPI

Fahad Mohamed, OWNER

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1790602985 Active

Practice location

2245 E Virginia Ave
Phoenix, AZ 85006-1347

Call (808) 492-2273 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH6755 (AZ)

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 1790602985

Fahad Mohamed, OWNER's National Provider Identifier is 1790602985, issued on Jun 30, 2026. 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 30, 2026.