145TH LANE NPI 1083876825

NPI Information

145TH LANE is a community based residential treatment facility mental illness in Surprise, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. 145TH LANE NPI is 1083876825. The provider is registered as an organization entity type.
The provider Is Doing Business As L3 Residential Facilities, Llc.

The provider's business location address is:

15266 N 145TH LN
SURPRISE, AZ
ZIP 85379-519
Phone: (602) 441-2691

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

The enumeration date for this NPI number is 7/1/2008 and was last updated on 7/1/2008.

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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