Exclusive Certified Residential Care, LLC
Exclusive Certified Residential Care, LLC is a Mental Illness Community Based Residential Treatment Facility in Kingman, Arizona. Licensed in Arizona. Registered with an NPI since 2016.
- Licensed in
- AZ
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3744 Martingale DrKingman, AZ 86409-2994
Phone: (928) 255-1747
Fax: (928) 255-1741
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 · Licence BH4985 (AZ) |
|---|
Record details
| NPI number | 1629528716 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maya Royce — Owner · (623) 285-9595 |
| NPI enumerated | October 12, 2016 |
| Last updated in NPPES | October 12, 2016 |
| Mailing address | 33105 N 23rd Ave, Phoenix, AZ 85085-5088 |
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