Organization · Type 2 NPI

Living 365 LLC

Mental Illness Community Based Residential Treatment Facility · Goodyear, AZ

NPI number 1962052266 Active

Practice location

2267 S 173rd Dr
Goodyear, AZ 85338-1961

Call (623) 248-4342 Map

Fax (623) 248-6096

Mailing address

11250 E Quicksilver Ave
Mesa, AZ 85212-4005

Specialties and licenses

Taxonomy	Code	License
Adult Psychiatric/Mental Health Registered Nurse	163WP0809X	None listed
Meals Provider	174200000X	None listed
Lodging Provider	177F00000X	None listed
Nursing Care Agency	251J00000X	None listed
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	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.

2 other providers at this address

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About NPI 1962052266

Living 365 LLC's National Provider Identifier is 1962052266, issued on Sep 18, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Goodyear, AZ. The record was last updated on Dec 16, 2019.