Organization · Type 2 NPI

1514 Bethany Home Management, LLC

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1801369632 Active

Practice location

1514 W Bethany Home Rd
Phoenix, AZ 85015-2504

Mailing address

14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260-8847

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Mental Illness Intermediate Care Facility 310500000XNone listed
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 1801369632

1514 Bethany Home Management, LLC's National Provider Identifier is 1801369632, issued on Jan 3, 2019. 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 Jan 3, 2019.