Mark Allen Fdt in Phoenix - Psychiatric Residential Treatment Facility
Mark Allen Fdt - NPI 1720024839
Mark Allen Fdt is a Psychiatric Residential Treatment Facility in Phoenix, Arizona. Mark Allen Fdt practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Mark Allen Fdt is 1720024839. The last update date is 2020-08-22.
Mark Allen Fdt's current location address is 2622 W State Ave, Phoenix, Arizona. You can contact this provider via phone number 6029733727 and fax number 6028412864. The mailing address for Mark Allen Fdt is 2622 W State Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark Allen Fdt |
|---|---|
| Address | 2622 W State Ave, Phoenix, Arizona |
| Phone Number | 6029733727 |
| Fax Number | 6028412864 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Harms Maria Dona |
| Credentials | BEHAVIORAL |
| Telephone Number | 6029733727 |
NPI Number Detail
| NPI Number | 1720024839 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2622 W State Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85051 |
| Phone Number | 6029733727 |
| Fax Number | 6028412864 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
|
Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 754342 | AZ | AHCUS |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Allen Fdt by the Centers for Medicare & Medicaid Services?
The Mark Allen Fdt has been assigned the NPI (National Provider Identifier) 1720024839. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Allen Fdt is located?
The Mark Allen Fdt is situated at the following address: 2622 W State Ave, Phoenix, AZ, 85051.
What is Mark Allen Fdt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Allen Fdt's area of specialization is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this field of practice is 323P00000X.
When was the Mark Allen Fdt's 1720024839 issued?
The Mark Allen Fdt's 1720024839 was issued on 2006-06-20.
As of what date were the details pertaining to Mark Allen Fdt last refreshed?
The information related to the Mark Allen Fdt, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY