Organization
HEALTHYHOMES 365 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TICA MASON (DIRECTOR)
(480) 862-3643
Entity
Organization
Contact information
Practice address
6302 E QUARTZ ST, MESA, AZ 85215-0943
(480) 862-3643
Mailing address
1343 N 26TH ST, MESA, AZ 85213-4111
(480) 862-3643
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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