Defonse Family Restoration LLC
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.
Practice location Address checks out
7812 W Wood LnPhoenix, AZ 85043-1426
Phone: (310) 956-7616
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1568087716 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nadine Defonse Fanfan — Asst Administrator/Manager · (323) 412-2137 |
| NPI enumerated | June 13, 2020 |
| Last updated in NPPES | June 13, 2020 |
| Certification date | June 13, 2020 |
| Mailing address | 7812 W Wood Ln, Phoenix, AZ 85043-1426 |
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