Forever Place Behavioral LLC
NPI #1376296202 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1376296202
- Entity Type
- Organization
- Organization Name
- Forever Place Behavioral LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FOREVER PLACE LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jan 31, 2022
- Last Updated
- Jan 31, 2022
Practice Location
- Address
- 2356 N SAND HILLS CT
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-6664
- Phone
- (567) 225-4008
Authorized Official
- Name
- LACHONIQUIE KIERRA EVANS, RN
- Title
- OWNER
- Phone
- (567) 225-4008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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