Ms. Vickie's Healing Place, LLC
NPI #1770322190 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1770322190
- Entity Type
- Organization
- Organization Name
- Ms. Vickie's Healing Place, LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- May 23, 2024
- Last Updated
- May 23, 2024
Practice Location
- Address
- 1169 E GABRILLA DR
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-6795
- Phone
- (602) 473-5372
Authorized Official
- Name
- KIMBERLEY RODNEY
- Title
- ADMINISTRATOR/OWNER
- Phone
- (602) 473-5372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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