Kaleidoscope LLC
NPI #1740819085 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1740819085
- Entity Type
- Organization
- Organization Name
- Kaleidoscope LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 8, 2020
- Last Updated
- Apr 8, 2020
Practice Location
- Address
- 41288 N CAMBRIA DR
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85140-3173
- Phone
- (480) 504-3329
Authorized Official
- Name
- RABIYA TROTTER
- Title
- ADMINISTRATOR
- Phone
- (480) 504-3329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Registered Nurse - General Practice — General Practice |
| Case Manager/Care Coordinator |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Non-emergency Medical Transport (VAN) |
| Respite Care |
| Community Based Residential Treatment Facility, Mental Illness |
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