ALPINE VILLA LLC 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. ALPINE VILLA LLC NPI is 1225697386. The provider is registered as an organization entity type.
The provider Is Doing Business As Alpine Villa Luke.
The provider's business location address is:
2144 W LUKE AVE
PHOENIX, AZ
ZIP 85015-319
Phone: (602) 975-1700
The provider's authorized official is Eric Glade Maughan .
The authorized official title is Administrator/owner and has the following contact phone number (602) 292-2010.
The CLIA number assigned to this NPI record is 03D2258760 - other - behavioral health with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/11/2019 and was last updated on 10/21/2020.