Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Defonse Family Restoration LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1568087716

Defonse Family Restoration LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7812 W Wood Ln
Phoenix, AZ 85043-1426
Phone: (310) 956-7616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1568087716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nadine Defonse Fanfan — Asst Administrator/Manager · (323) 412-2137
NPI enumeratedJune 13, 2020
Last updated in NPPESJune 13, 2020
Certification dateJune 13, 2020
Mailing address7812 W Wood Ln, Phoenix, AZ 85043-1426

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