SHINING HEARTS RESIDENTIAL TREATMENT CENTER LLC NPI 1205599016

NPI Information

SHINING HEARTS RESIDENTIAL TREATMENT CENTER LLC is a residential treatment facility emotionally disturbed children in Maricopa, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SHINING HEARTS RESIDENTIAL TREATMENT CENTER LLC NPI is 1205599016. The provider is registered as an organization entity type.

The provider's business location address is:

21352 N DENTON DR
MARICOPA, AZ
ZIP 85138-559
Phone: (469) 401-8195

The provider's authorized official is Jada Alexander .
The authorized official title is President and has the following contact phone number (469) 401-8195.

The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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