Rehoboth LLC

NPI #1003283417 in Maricopa, Arizona

Provider Information

NPI Number: 1003283417
Entity Type: Organization
Organization Name: Rehoboth LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 2, 2015
Last Updated: Sep 2, 2015

Practice Location

Address: 19436 N SMITH DR
City: Maricopa
State: Arizona
ZIP Code: 85139-6877
Phone: (480) 603-5286

Authorized Official

Name: JOY TALABI
Title: ADMINISTRATOR
Phone: (480) 603-5286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Psychiatric Residential Treatment Facility	323P00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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