LAVEEN BEHAVIORAL HEALTH LLC


Address: 6315 S 34th Dr, Phoenix, AZ 85041-5465
Phone: 6198171936

LAVEEN BEHAVIORAL HEALTH LLC (NPI# 1922630664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922630664
Entity Type Organization
Organization Name LAVEEN BEHAVIORAL HEALTH LLC
Practice Address 6315 S 34th Dr
Phoenix
AZ 85041-5465
Practice Telephone 6198171936
Enumeration Date 2020-02-11
Last Update Date 2020-02-11
Authorized Official Name MR. MOHAMED MOHAMED (ADMINISTRATOR)
Authorized Official Telephone 6198171936
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 6315 S 34TH DR
City PHOENIX
State AZ
Zip Code 85041-5465

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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Competitor

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City PHOENIX
Zip Code 85041

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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