Unity Group Home, LLC
Residential Treatment Facility, Emotionally Disturbed Children in El Mirage, AZ. Organization (NPI-2).
NPI number1104008366
StatusActive
Last updated in NPPESNov 29, 2007
Details
- NPI
- 1104008366
- Entity type
- Organization (NPI-2)
- Legal business name
- Unity Group Home, LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2007
- Last updated
- Nov 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | BH-2998 | AZ | Yes |
Practice location
12406 W Surrey AveEl Mirage, AZ 85335-7245
Phone 480-202-2972 · Fax 623-546-0161
Mailing address
70 S Val Vista Dr Ste A3Gilbert, AZ 85296-1375
Phone 480-202-2972 · Fax 623-546-0161
Authorized official
Stephanie Kay Edwards
Owner
4802022972
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