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MILESTONE RECOVERY TRANSITIONAL LIVING NPI 1871172536


NPI Information

NPI: 1871172536
Provider Name: MILESTONE RECOVERY TRANSITIONAL LIVING
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
7340 W BETHANY HOME RD
GLENDALE, AZ
ZIP 85303
Phone: (520) 329-3283
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MILESTONE RECOVERY TRANSITIONAL LIVING is a community based residential treatment facility mental illness in Glendale, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MILESTONE RECOVERY TRANSITIONAL LIVING NPI is 1871172536. The provider is registered as an organization entity type.

The provider's business location address is:

7340 W BETHANY HOME RD
GLENDALE, AZ
ZIP 85303-321
Phone: (520) 329-3283

The provider's authorized official is Wellengten Jenkins .
The authorized official title is Member-manager and has the following contact phone number (602) 421-6667.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 4/7/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes
2251S00000XCommunity/Behavioral HealthNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.