Springbrook Habilitation Services, Llc in Phoenix - Community Based Residential Treatment Facility, Mental Illness
Springbrook Habilitation Services, Llc - NPI 1154592095
Springbrook Habilitation Services, Llc is a Community Based Residential Treatment Facility, Mental Illness in Phoenix, Arizona. Springbrook Habilitation Services, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Springbrook Habilitation Services, Llc is 1154592095. The last update date is 2009-12-28.
Springbrook Habilitation Services, Llc's current location address is 3058 W Grandview Rd, Phoenix, Arizona. You can contact this provider via phone number 6027956905 and fax number 6027956907. The mailing address for Springbrook Habilitation Services, Llc is 3058 W Grandview Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Springbrook Habilitation Services, Llc |
|---|---|
| Address | 3058 W Grandview Rd, Phoenix, Arizona |
| Phone Number | 6027956905 |
| Fax Number | 6027956907 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Green W George |
| Credentials | M.ED. |
| Telephone Number | 6024241838 |
NPI Number Detail
| NPI Number | 1154592095 |
|---|---|
| Provider Enumeration Date | 2008-03-19 |
| Last Updated Date | 2009-12-28 |
Provider Mailing Address Detail
| Address | 3058 W Grandview Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850533070 |
| Phone Number | 6027956905 |
| Fax Number | 6027956907 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | BH-3021 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 856122 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Springbrook Habilitation Services, Llc by the Centers for Medicare & Medicaid Services?
The Springbrook Habilitation Services, Llc has been issued the NPI (National Provider Identifier) 1154592095 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Springbrook Habilitation Services, Llc?
The Springbrook Habilitation Services, Llc is situated at 3058 W Grandview Rd, in the city of Phoenix, state of AZ, with the zip code 850533070.
What is Springbrook Habilitation Services, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Springbrook Habilitation Services, Llc is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 320800000X.
On what date did Springbrook Habilitation Services, Llc receive its 1154592095 assignment from the Centers for Medicare & Medicaid Services?
The Springbrook Habilitation Services, Llc was assigned its 1154592095 on 2008-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Springbrook Habilitation Services, Llc's information last updated?
The Springbrook Habilitation Services, Llc's information was last updated on 2009-12-28.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA