Az Peace of Mind Behavioral Health Home LLC

NPI #1821616319 in Surprise, Arizona

Provider Information

NPI Number: 1821616319
Entity Type: Organization
Organization Name: Az Peace of Mind Behavioral Health Home LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jul 10, 2020
Last Updated: Jul 10, 2020

Practice Location

Address: 15622 W SIERRA ST
City: Surprise
State: Arizona
ZIP Code: 85379-1038
Phone: (623) 214-6420

Authorized Official

Name: ELVINE MUTETERI
Title: ADMINISTRATOR
Phone: (623) 214-6420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation, Substance Use Disorder Unit	276400000X
Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances	3104A0630X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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