Organization
ARIZONA THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDIS MAEZ (MANAGING DIRECTOR)
(480) 399-8735
Entity
Organization
Contact information
Practice address
18444 N 25TH AVE, SUITE 420-712, PHOENIX, AZ 85023-1261
(480) 244-3586
Mailing address
18444 N 25TH AVE, SUITE 420-712, PHOENIX, AZ 85023-1261
(480) 244-3586
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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