Springbrook Habilitation Services, Llc in Phoenix - Community Based Residential Treatment Facility, Mental Illness
Springbrook Habilitation Services, Llc - NPI 1699946533
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 1699946533. The last update date is 2009-12-28.
Springbrook Habilitation Services, Llc's current location address is 12002 N 28th St, Phoenix, Arizona. You can contact this provider via phone number 6027952088. The mailing address for Springbrook Habilitation Services, Llc is 12002 N 28th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Springbrook Habilitation Services, Llc |
|---|---|
| Address | 12002 N 28th St, Phoenix, Arizona |
| Phone Number | 6027952088 |
| Fax Number | |
| 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 | 1699946533 |
|---|---|
| Provider Enumeration Date | 2008-03-19 |
| Last Updated Date | 2009-12-28 |
Provider Mailing Address Detail
| Address | 12002 N 28th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850281114 |
| Phone Number | 6027952088 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | BH-2372 |
|
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 |
|---|---|---|---|
| 819013 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Springbrook Habilitation Services, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Springbrook Habilitation Services, Llc has been assigned the NPI (National Provider Identifier) 1699946533. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Springbrook Habilitation Services, Llc is geographically located?
The Springbrook Habilitation Services, Llc is physically situated at the following location: 12002 N 28Th St, Phoenix, AZ, 850281114.
What is Springbrook Habilitation Services, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Springbrook Habilitation Services, Llc's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699946533 to Springbrook Habilitation Services, Llc?
The Centers for Medicare & Medicaid Services assigned the 1699946533 to Springbrook Habilitation Services, Llc on 2008-03-19.
As of what date were the details related to Springbrook Habilitation Services, Llc most recently updated or revised?
The information pertaining to Springbrook Habilitation Services, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-28.
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