NPI 1346088044

Supportive Living LLC

Organisation Psychiatric Residential Treatment Facility Peoria, AZ

Practice location

Address: 10432 W West Wind Dr., Peoria, AZ 85383
Phone: (480) 977-9222
Mailing address: 2240 S Don Carlos, Mesa, AZ 85202-6307

Authorised official

Name: Sandi West
Title: Owner/Manager
Phone: (480) 977-9222

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Arizona →

Registry record

NPI: 1346088044
Entity type: Organization
NPI issued: 17 Jul 2024
Record last updated: 17 Jul 2024

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.