Organization · Type 2 NPI
Lifewell Behavioral Wellness
Mental Illness Community Based Residential Treatment Facility · Mesa, AZ
NPI number
1801976709
Active
Practice location
621 W Southern Ave
Mesa, AZ 85210-5004
Fax (602) 808-2799
Mailing address
202 E. Earll Drive, Suite 200
Phoenix, AZ 85012-2647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH2062 |
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.
4 other providers at this address
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About NPI 1801976709
Lifewell Behavioral Wellness's National Provider Identifier is 1801976709, issued on Oct 16, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Mesa, AZ. The record was last updated on Dec 14, 2016.