Organization · Type 2 NPI
Cactus Sage LLC
Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
NPI number
1902494941
Active
Practice location
3424 E Coronado Rd
Phoenix, AZ 85008-3826
Mailing address
3848 E Pollack St
Phoenix, AZ 85042-6207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None 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 1902494941
Cactus Sage LLC's National Provider Identifier is 1902494941, issued on Jan 5, 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 Jan 5, 2021.