145Th Lane in Surprise - Community Based Residential Treatment Facility, Mental Illness

145Th Lane - NPI 1083876825

145Th Lane is a Community Based Residential Treatment Facility, Mental Illness in Surprise, Arizona. 145Th Lane practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for 145Th Lane is 1083876825. The last update date is 2008-07-01.

145Th Lane's current location address is 15266 N 145th Ln, Surprise, Arizona. You can contact this provider via phone number 6024412691. The mailing address for 145Th Lane is 15266 N 145th Ln, Surprise, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization 145Th Lane
Address 15266 N 145th Ln, Surprise, Arizona
Phone Number 6024412691
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTAT
Authorized Official Name Singleton Elizabeth
Telephone Number 6024412691

NPI Number Detail

NPI Number 1083876825
Provider Enumeration Date 2008-07-01
Last Updated Date 2008-07-01

Provider Mailing Address Detail

Address 15266 N 145th Ln
City Surprise
State Arizona (AZ)
Post Code 853798519
Phone Number 6024412691
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Licence No BH - 3107
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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FAQs about 145Th Lane

What is the unique identifier code issued to 145Th Lane by the Centers for Medicare & Medicaid Services (CMS)?

The 145Th Lane has been assigned the NPI (National Provider Identifier) 1083876825. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where 145Th Lane's facilities are geographically located?

The facilities of 145Th Lane are physically situated at the following location: 15266 N 145Th Ln, Surprise, AZ, 853798519.

What is 145Th Lane's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for 145Th Lane is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 320800000X.

On what date did 145Th Lane receive its 1083876825 assignment from the Centers for Medicare & Medicaid Services?

The 145Th Lane was assigned its 1083876825 on 2008-07-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to 145Th Lane most recently updated or refreshed?

The details pertaining to the 145Th Lane, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-01.

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