Organization · Type 2 NPI

Baraka DDD LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mesa, AZ

NPI number 1972178424 Active

Practice location

5450 E Dolphin Ave
Mesa, AZ 85206-2205

Call (623) 570-1138 Map

Mailing address

5800 W Wethersfield Dr
Glendale, AZ 85304-1841

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1972178424

Baraka DDD LLC's National Provider Identifier is 1972178424, issued on May 26, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mesa, AZ. The record was last updated on May 26, 2021.