# AVERY'S HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083302822
- **Authorized official:** ANDREA STINER (BILING DIRECTOR)
- **Authorized official phone:** (602) 694-9643

## Contact information

- **Practice address:** 10787 W USTICK RD, BOISE, ID 83713-5104
- **Practice address phone:** (203) 200-8556
- **Mailing address:** 11445 E VIA LINDA STE 2-617, SCOTTSDALE, AZ 85259-2655
- **Mailing address phone:** (602) 694-9643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2023
- **Last updated:** 12/11/2025