LAVIE BEHAVIORAL HOME NPI 1962162990

NPI Information

NPI: 1962162990
Provider Name: LAVIE BEHAVIORAL HOME

Doing Business As: LAVIE BEHAVIORAL HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3043 W BUTLER DR
PHOENIX, AZ
ZIP 85051
Phone: (602) 314-6963
Get Directions

LAVIE BEHAVIORAL HOME 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. LAVIE BEHAVIORAL HOME NPI is 1962162990. The provider is registered as an organization entity type.
The provider Is Doing Business As Lavie Behavioral Home.

The provider's business location address is:

3043 W BUTLER DR
PHOENIX, AZ
ZIP 85051-940
Phone: (602) 314-6963

The provider's authorized official is Gaby Ngoundjo .
The authorized official title is Owner and has the following contact phone number (480) 249-9851.

The enumeration date for this NPI number is 12/17/2021 and was last updated on 12/17/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				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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