Organization
ARCADIAN HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA FONG LEE (ADMINISTRATOR)
(602) 888-3037
Entity
Organization
Contact information
Practice address
5924 W TRUMBULL RD, PHOENIX, AZ 85043-1967
(602) 774-4352
(866) 371-6382
Mailing address
3808 W LA SALLE ST, PHOENIX, AZ 85041-3328
(602) 888-3037
(866) 371-6382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6280
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
07/13/2020
Last updated
07/13/2020
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