Elevate Behavioral Health Residential Facilities, LLC

NPI #1942821723 in Avondale, Arizona

Provider Information

NPI Number: 1942821723
Entity Type: Organization
Organization Name: Elevate Behavioral Health Residential Facilities, LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 2, 2020
Last Updated: May 2, 2020

Practice Location

Address: 2029 N 106TH AVE
City: Avondale
State: Arizona
ZIP Code: 85392-4766
Phone: (623) 562-0128

Authorized Official

Name: LATONYA WHITAKER
Title: OWNER
Phone: (623) 562-0128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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