Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fahad Mohamed, OWNER

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1790602985

Fahad Mohamed, OWNER is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

2245 E Virginia Ave
Phoenix, AZ 85006-1347
Phone: (808) 492-2273
Show map & directions

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 BH6755 (AZ)

Record details

NPI number1790602985
Entity typeIndividual (Type 1)
GenderFemale
Credentials OWNER
Sole proprietorYes
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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