1396597753 PHA RESIDENTIAL LLC
Mental Illness Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- PHA RESIDENTIAL LLC
- Enumeration Date
- April 1, 2024
- Last Update
- April 2, 2024
- Authorized Official
- PHALINA MITCHELL RN
OWNER
Phone: (602) 502-6238
Practice Location
- Address
- 5312 W STARGAZER PL
LAVEEN, AZ 853394512 - Phone
- (602) 502-6238
Mailing Address
- Address
- 5312 W STARGAZER PL
LAVEEN, AZ 853394512 - Phone
- (602) 502-6238
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Psychiatric Residential Treatment Facility | 323P00000X | Psychiatric Residential Treatment Facility | N/A | N/A | No |
| Substance Abuse Rehabilitation Facility | 324500000X | Substance Abuse Rehabilitation Facility | N/A | N/A | No |
| Children's Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | 3245S0500X | Substance Abuse Rehabilitation Facility | N/A | N/A | No |
| Counselor | 101Y00000X | Counselor | N/A | N/A | No |
| Registered Nurse | 163W00000X | Registered Nurse | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Public Health or Welfare Agency | 251K00000X | Public Health or Welfare | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Health Service Clinic/Center Health Service | 261QH0100X | Clinic/Center | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | No |
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | N/A | N/A | Primary |
Frequently Asked Questions
What is PHA RESIDENTIAL LLC's NPI number?
PHA RESIDENTIAL LLC's NPI number is 1396597753.
Which doctor has NPI number 1396597753?
The doctor with NPI number 1396597753 is PHA RESIDENTIAL LLC.
What is PHA RESIDENTIAL LLC's practice address?
PHA RESIDENTIAL LLC's practice address is 5312 W STARGAZER PL, LAVEEN, AZ, 853394512.
Which doctor practices at 5312 W STARGAZER PL, LAVEEN, AZ, 853394512?
PHA RESIDENTIAL LLC practices at 5312 W STARGAZER PL, LAVEEN, AZ, 853394512.
What is PHA RESIDENTIAL LLC's phone number?
PHA RESIDENTIAL LLC's phone number is (602) 502-6238.
Who is (602) 502-6238?
(602) 502-6238 is the phone number for PHA RESIDENTIAL LLC.
What is PHA RESIDENTIAL LLC's specialty?
PHA RESIDENTIAL LLC's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is PHA RESIDENTIAL LLC?
PHA RESIDENTIAL LLC is a Mental Illness Community Based Residential Treatment Facility.
Is PHA RESIDENTIAL LLC a Community Based Residential Treatment Facility, Mental Illness?
Yes, PHA RESIDENTIAL LLC is a Community Based Residential Treatment Facility, Mental Illness.
Is PHA RESIDENTIAL LLC still practicing?
Yes, PHA RESIDENTIAL LLC is currently practicing.
Is PHA RESIDENTIAL LLC accepting new patients?
PHA RESIDENTIAL LLC may be accepting new patients. Please call their office at (602) 502-6238 to inquire about availability.
Is NPI 1396597753 still active?
Yes, NPI 1396597753 is currently active.
Where does PHA RESIDENTIAL LLC practice?
PHA RESIDENTIAL LLC practices in LAVEEN, AZ.