Organization · Type 2 NPI

Mosaic

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

NPI number 1982454609 Active

Practice location

2929 N 44th St Ste 300
Phoenix, AZ 85018-7278

Call (602) 864-6030 Map

Fax (602) 864-1513

Mailing address

4980 S 118th St
Omaha, NE 68137-2200

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 1982454609

Mosaic's National Provider Identifier is 1982454609, issued on Mar 25, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 25, 2024.