Divine Embrace Residential Homes
Divine Embrace Residential Homes is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
18444 N 25th Ave Ste 420Phoenix, AZ 85023-1268
Phone: (623) 887-0400
Fax: (623) 887-0402
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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 number | 1063159069 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | La Tanya Willis — Owner · (623) 887-0400 |
| NPI enumerated | May 19, 2022 |
| Last updated in NPPES | September 29, 2023 |
| Certification date | September 29, 2023 |
| Mailing address | 12324 N 144th Dr, Surprise, AZ 85379-4477 |
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