NPI 1043483704

Tri-Phase Group INC

Organisation Children's Substance Abuse Rehabilitation Facility Mesa, AZ

Practice location

Address: 2355 E Elmwood St, Mesa, AZ 85213-5909
Phone: (623) 474-6326
Fax: (623) 474-6516
Mailing address: 18403 W Verdin Rd, Goodyear, AZ 85338-5081

Authorised official

Name: Sherri McKinney
Title: Owner/Director
Phone: (623) 474-6326

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 3245S0500X Licence BH-2891 (AZ)

Other Substance Abuse Rehabilitation Facility providers in Arizona →

Registry record

NPI: 1043483704
Entity type: Organization
NPI issued: 2 Apr 2008
Record last updated: 26 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.