Phoenix Residential Care LLC
Phoenix Residential Care LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, 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
3101 W Larkspur DrPhoenix, AZ 85029-2331
Phone: (480) 939-0826
Fax: (602) 518-6894
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 BH5032 (AZ) |
|---|
Record details
| NPI number | 1588108534 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Zina Gray — Agency Administration · (480) 939-0826 |
| NPI enumerated | December 10, 2016 |
| Last updated in NPPES | December 10, 2016 |
| Mailing address | 3101 W Larkspur Dr, Phoenix, AZ 85029-2331 |
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