Organization
A PATH OF RESILIENCE - APRBHS - ROSE HOUSE - LLC
Active
Parent organization
A PATH OF RESILIENCE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
A PATH OF RESILIENCE, LLC
Authorized official
LAROIE DAVIS (OWNER)
(602) 281-0704
Entity
Organization
Contact information
Practice address
2258 W WAYLAND RD, PHOENIX, AZ 85041-3753
(602) 281-0704
Mailing address
2258 W WAYLAND RD, PHOENIX, AZ 85041-3753
(602) 281-0704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194917
—
AZ
Enumeration date
06/30/2020
Last updated
11/27/2023
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