Valley Independent Residential LLC
Valley Independent Residential LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2013.
- Licensed in
- AZ
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6408 W Gross AvePhoenix, AZ 85043
Phone: (623) 907-1142
Fax: (623) 907-1143
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 BH4203 (AZ) |
|---|
Record details
| NPI number | 1558704809 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Augustine McCabe — Ower · (623) 907-1142 |
| NPI enumerated | April 16, 2013 |
| Last updated in NPPES | April 16, 2013 |
| Mailing address | 6408 W Gross Ave, Phoenix, AZ 85043-5778 |
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