Organization Name: | HELPING HEARTS RESIDENTIAL FACILITIES I, LLC |
NPI Number: | 1114265972 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YNEZ CHRISTINE CROSS (ADMINISTRATOR) |
Mailing Address: | 3625 N 16th St Ste 110 Phoenix |
State: | AZ US |
Postal Code: | 850166446 |
Phone Number: | 6026221290 |
Fax Number: | 6029268036 |
NPI Enumeration Date: | 01/29/2013 |
NPI Last Update Date: | 01/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | BH4135 |
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. |