Organization
FORRESTER BEHAVIORAL HEALTH HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA GRACE FORRESTER (OWNER)
(480) 296-9314
Entity
Organization
Contact information
Practice address
36014 W MADRID AVE, MARICOPA, AZ 85138-5457
(480) 296-9314
Mailing address
555 S GALLERIA WAY UNIT 368, CHANDLER, AZ 85226-1543
(480) 296-9314
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
02/01/2023
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