Organization · NPI-2

A Path Of Resilience - Aprbhs - Rose House - LLC

Community/Behavioral Health · Phoenix, AZ

NPI number1497372908

StatusActive

Last updated in NPPESNov 27, 2023

Details

NPI: 1497372908
Entity type: Organization (NPI-2)
Legal business name: A Path Of Resilience - Aprbhs - Rose House - LLC
Organization subpart: Yes
Enumeration date: Jun 30, 2020
Certification date: Jul 29, 2020
Last updated: Nov 27, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
261QM0850X	Clinic/Center, Adult Mental Health	–	–
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–
332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
253Z00000X	In Home Supportive Care	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
101Y00000X	Counselor	–	–
104100000X	Social Worker	–	–
106S00000X	Behavior Technician	–	–
174200000X	Meals	–	–
251B00000X	Case Management	–	–

Practice location

2258 W Wayland Rd
Phoenix, AZ 85041-3753

Phone 602-281-0704

Mailing address

2258 W Wayland Rd
Phoenix, AZ 85041-3753

Phone 602-281-0704

Authorized official

Laroie Davis
Owner
6022810704

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