Individual provider · Type 1 NPI

Latasheanne Cockhren

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1821663683 Active

Practice location

6449 S 16th Pl
Phoenix, AZ 85042-4569

Call (619) 647-7568 Map

Mailing address

2177 S Mcqueen Rd Apt 3002
Chandler, AZ 85286-1849

Specialties and licenses

TaxonomyCodeLicense
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 1821663683

Latasheanne Cockhren's National Provider Identifier is 1821663683, issued on May 24, 2021. 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 May 24, 2021.