AZ INTERACT LLC NPI 1760885347

NPI Information

NPI: 1760885347
Provider Name: AZ INTERACT LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2325 W DESPERADO WAY
PHOENIX, AZ
ZIP 85085
Phone: (602) 696-0488
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AZ INTERACT LLC is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. AZ INTERACT LLC NPI is 1760885347. The provider is registered as an organization entity type.

The provider's business location address is:

2325 W DESPERADO WAY
PHOENIX, AZ
ZIP 85085-777
Phone: (602) 696-0488

The provider's authorized official is Eduardo Santana .
The authorized official title is Administrator and has the following contact phone number (602) 636-0488.

The enumeration date for this NPI number is 9/26/2014 and was last updated on 9/26/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH4514	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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