New Roots Residency LLC
New Roots Residency LLC is an Intellectual and/or Developmental Disabilities 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
3139 W Carson RdPhoenix, AZ 85041-6342
Phone: (480) 285-5483
Fax: (602) 675-1560
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
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1861024069 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Muthoni — Owneradministrator · (480) 285-5483 |
| NPI enumerated | February 6, 2020 |
| Last updated in NPPES | February 6, 2020 |
| Certification date | February 6, 2020 |
| Mailing address | 3139 W Carson Rd, Phoenix, AZ 85041-6342 |
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