Whalio Doctors

NPI 1295965531

Williams Sudan Guest Homes

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

Practice location

Address
15111 E Via de Olivos Rd, Chandler, AZ 85249-7423
Phone
(480) 751-7483
Fax
(480) 895-8399
Mailing address
4133 East Glenagele Dr, Chandler, AZ 85249-7423

Authorised official

Name
Evelyn Willlliams
Title
Clinical Director
Phone
(480) 751-7483

Registered specialties (11)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence BH-3215 (AZ)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence BH-3215 (AZ)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence BH-3215 (AZ)
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence BH-3215 (AZ)
Methadone Clinic
Ambulatory Health Care Facilities Taxonomy 261QM2800X Licence BBH-3215 (AZ)
Physical Therapy Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence BH-3215 (AZ)
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence BH-3215 (AZ)
Occupational Medicine Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QX0100X Licence BH-3215 (AZ)
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X Licence BH-3215 (AZ)
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X Licence BH-3215 (AZ)
Private Vehicle
Transportation Services Taxonomy 347C00000X Licence BH-3215 (AZ)

Registry record

NPI
1295965531
Entity type
Organization
NPI issued
21 Jul 2009
Record last updated
21 Jul 2009

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.