THE 12TH AVE HOUSE #1 NPI 1013177666

NPI Information

THE 12TH AVE HOUSE #1 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. THE 12TH AVE HOUSE #1 NPI is 1013177666. The provider is registered as an organization entity type.
The provider Is Doing Business As Helping Hearts #1.

The provider's business location address is:

9606 N 12TH AVE
PHOENIX, AZ
ZIP 85021-095
Phone: (602) 441-2691

The provider's authorized official is Elizabeth Singleton .
The authorized official title is Administrator and has the following contact phone number (602) 441-2691.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 6/16/2008.

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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