Organization
RENEWED SPIRIT RESIDENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BURRUSS (OWNER/CEO, EMPLOYEE)
(623) 312-5465
Entity
Organization
Contact information
Practice address
8149 E POSADA AVE, MESA, AZ 85212-1667
(623) 312-5465
Mailing address
3232 W SHANLEY AVE, APACHE JUNCTION, AZ 85120-0007
(623) 312-5465
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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