South Mountain Holistic Care

Organization Mental Illness Intermediate Care Facility · NPI 1770038564

South Mountain Holistic Care is a Mental Illness Intermediate Care Facility in Laveen, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in: AZ
In the registry since: 2016

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Practice location Address checks out

3219 W Olney Ave
Laveen, AZ 85339-1783
Phone: (602) 565-5909

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Intermediate Care Facility (primary)	Taxonomy 310500000X · Licence BH4914 (AZ)

Record details

NPI number	1770038564
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Stephanie Brigham — Executive Director · (602) 565-5909
NPI enumerated	August 22, 2016
Last updated in NPPES	August 22, 2016
Mailing address	3219 W Olney Ave, Laveen, AZ 85339