Tri-Phase Group Home Inc in Goodyear - Substance Abuse Treatment, Children
Tri-Phase Group Home Inc - NPI 1578736039
Tri-Phase Group Home Inc is a Substance Abuse Treatment, Children in Goodyear, Arizona. Tri-Phase Group Home Inc practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Tri-Phase Group Home Inc is 1578736039. The last update date is 2008-06-26.
Tri-Phase Group Home Inc's current location address is 18403 W Verdin Rd, Goodyear, Arizona. You can contact this provider via phone number 6234746326 and fax number 6234746516. The mailing address for Tri-Phase Group Home Inc is 18403 W Verdin Rd, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-Phase Group Home Inc |
|---|---|
| Address | 18403 W Verdin Rd, Goodyear, Arizona |
| Phone Number | 6234746326 |
| Fax Number | 6234746516 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DIRE |
|---|---|
| Authorized Official Name | Mckinney Sherri |
| Telephone Number | 6234746326 |
NPI Number Detail
| NPI Number | 1578736039 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 18403 W Verdin Rd |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853385081 |
| Phone Number | 6234746326 |
| Fax Number | 6234746516 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | BH-3081 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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What is the unique identifier code issued to Tri-Phase Group Home Inc by the Centers for Medicare & Medicaid Services?
The Tri-Phase Group Home Inc has been assigned the NPI (National Provider Identifier) 1578736039. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tri-Phase Group Home Inc?
The Tri-Phase Group Home Inc is situated at 18403 W Verdin Rd, in the city of Goodyear, state of AZ, with the zip code 853385081.
What is the Tri-Phase Group Home Inc's area of specialization and corresponding taxonomy classification?
The Tri-Phase Group Home Inc's specialty field is Substance Abuse Treatment, Children, and it falls under the taxonomy code 3245S0500X, which categorizes healthcare providers based on their specialties.
When was the Tri-Phase Group Home Inc's 1578736039 issued?
The Tri-Phase Group Home Inc's 1578736039 was issued on 2008-04-04.
When was the information pertaining to Tri-Phase Group Home Inc most recently updated or revised?
The details related to Tri-Phase Group Home Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-26.
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