STONEWALL INSTITUTE, LLC is a community behavioral health in Phoenix, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. STONEWALL INSTITUTE, LLC NPI is 1972838167. The provider is registered as an organization entity type.
The provider's business location address is:
4020 N 20TH ST STE 302
PHOENIX, AZ
ZIP 85016-032
Phone: (602) 535-6468
The provider's authorized official is Kyle Jamison Penniman .
The authorized official title is Ceo and has the following contact phone number (602) 535-6468.
The CLIA number assigned to this NPI record is 03D2170131 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/6/2009 and was last updated on 7/27/2012.