Dharma Residential Az LLC

NPI #1609667476 in Maricopa, Arizona

Provider Information

NPI Number
1609667476
Entity Type
Organization
Organization Name
Dharma Residential Az LLC
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
May 13, 2025
Last Updated
May 13, 2025

Practice Location

Address
19118 N SAN JUAN ST
State
Arizona
ZIP Code
85138-2532
Phone
(314) 494-7603

Authorized Official

Name
CERMILLIA WILLIAMS, MSW,MBA
Title
CEO
Phone
(314) 494-7603

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Residential Treatment Facility, Physical Disabilities
Community Based Residential Treatment Facility, Mental Illness
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Psychiatric Residential Treatment Facility
Residential Treatment Facility, Emotionally Disturbed Children

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