# LLC DEEPLY ROOTED FAMILY & LIFE SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558286765
- **Authorized official:** STEVE REYNOLD REUPENA (CO-CEO)
- **Authorized official phone:** (951) 867-1858

## Contact information

- **Practice address:** 9025 W CROWN KING RD, TOLLESON, AZ 85353-8639
- **Practice address phone:** (602) 677-2206
- **Mailing address:** 10517 W TORONTO WAY, TOLLESON, AZ 85353-5630
- **Mailing address phone:** (951) 867-1858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2026
- **Last updated:** 08/13/2026