Organization · Type 2 NPI

Phoenix Gospel Mission, Inc. dba Phoenix Rescue Mission

Community/Behavioral Health Agency · Phoenix, AZ

NPI number 1811497670 Active

Practice location

1801 S 35th Ave
Phoenix, AZ 85009-6706

Fax (602) 272-5614

Mailing address

1540 W Van Buren St
Phoenix, AZ 85007-2414

Other practice locations

  • 338 N 15th Ave, Phoenix, AZ 85007-2402 · (602) 233-3000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

2 other providers at this address

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About NPI 1811497670

Phoenix Gospel Mission, Inc. dba Phoenix Rescue Mission's National Provider Identifier is 1811497670, issued on Feb 19, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 17, 2023.