Organization · Type 2 NPI
FJCM Behavioral Healthcare
Substance Abuse Rehabilitation Facility · Phoenix, AZ
NPI number
1861932048
Active
Practice location
2710 E Valencia Dr
Phoenix, AZ 85042-7081
Mailing address
4730 W Samantha Way
Laveen, AZ 85339-2141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 320800000X (AZ) |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 32450000X (AZ) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1861932048
FJCM Behavioral Healthcare's National Provider Identifier is 1861932048, issued on Mar 7, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 7, 2017.