Organization · NPI-2

Elmwood Group Homes

Psychiatric Residential Treatment Facility · Mesa, AZ

NPI number1942473038
StatusActive
Last updated in NPPESApr 9, 2008

Details

NPI
1942473038
Entity type
Organization (NPI-2)
Legal business name
Elmwood Group Homes
Organization subpart
No
Enumeration date
Apr 9, 2008
Last updated
Apr 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
323P00000X Psychiatric Residential Treatment Facility–AZYes

Practice location

2355 E Elmwood St
Mesa, AZ 85213-5909

Phone 480-917-9301

Mailing address

2190 N Grace Blvd
Chandler, AZ 85225-3416

Phone 480-917-9301

Authorized official

Michael Puttoff
Ceo
4809179301

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