Mary Group Home LLC
Mary Group Home LLC is an Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12643 N 22nd AvePhoenix, AZ 85029-2652
Phone: (480) 577-7777
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
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1760342083 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abdalla Elkhalifa — Ceo · (480) 577-7777 |
| NPI enumerated | November 18, 2025 |
| Last updated in NPPES | November 18, 2025 |
| Certification date | November 18, 2025 |
| Mailing address | 12643 N 22nd Ave, Phoenix, AZ 85029-2652 |
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