Pha Residential LLC

NPI #1396597753 in Laveen, Arizona

Provider Information

NPI Number
1396597753
Entity Type
Organization
Organization Name
Pha Residential LLC
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Apr 1, 2024
Last Updated
Apr 2, 2024

Practice Location

Address
5312 W STARGAZER PL
City
Laveen
State
Arizona
ZIP Code
85339-4512
Phone
(602) 502-6238

Authorized Official

Name
PHALINA MITCHELL, RN
Title
OWNER
Phone
(602) 502-6238

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Psychiatric Residential Treatment Facility
Substance Abuse Rehabilitation Facility
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, ChildrenSubstance Abuse Treatment, Children
Counselor
Registered Nurse
Case Management
Public Health or Welfare
Community/Behavioral Health
Clinic/Center - Health ServiceHealth Service
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Clinic/Center - Adult Mental HealthAdult Mental Health
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community Based Residential Treatment Facility, Mental Illness

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