Organization Name: | SMMHC, INC |
NPI Number: | 1073832838 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA TOM (SR. DIRECTOR OF ADMIN SERVICES) |
Mailing Address: | 1391 E 25th Cir Apache Junction |
State: | AZ US |
Postal Code: | 851199217 |
Phone Number: | 4809830065 |
Fax Number: | 4802880815 |
NPI Enumeration Date: | 05/19/2010 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | BH 3600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |