Tri-Phase Group Home INC

NPI #1578736039 in Mesa, Arizona

Provider Information

NPI Number: 1578736039
Entity Type: Organization
Organization Name: Tri-Phase Group Home INC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Apr 4, 2008
Last Updated: Jun 26, 2008

Practice Location

Address: 111 S LAZONA DR
City: Mesa
State: Arizona
ZIP Code: 85204-1222
Phone: (623) 474-6326

Authorized Official

Name: MRS. SHERRI MCKINNEY
Title: OWNER/DIRECTOR
Phone: (623) 474-6326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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