NPI 1073726162

Independence Coaching, L.L.C.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Phoenix, AZ

Practice location

Address: 1345 E Butler Dr, Phoenix, AZ 85020-3824
Phone: (602) 524-0583
Fax: (602) 297-6758

Authorised official

Name: Vern Johnson
Title: President
Phone: (602) 524-0583

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1073726162
Entity type: Organization
NPI issued: 7 May 2007
Record last updated: 22 Aug 2020

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.