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

Dharma Residential Az LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1609667476

Dharma Residential Az LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maricopa, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
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

19118 N San Juan St
Maricopa, AZ 85138-2532
Phone: (314) 494-7603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1609667476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cermillia Williams — Ceo · (314) 494-7603
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address19118 N San Juan St, Maricopa, AZ 85138-2532

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