Unleashed Phoenix Corp, NPI 1780280354
Community/Behavioral Health Agency in Mesa, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1780280354 |
| NPI Entity Type | Organization |
| Provider Name | Unleashed Phoenix Corp |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1720 E 8th Ave, Mesa, AZ, US |
| Provider Mailing Address | 9233 Jackson Park Blvd, Wauwatosa, WI, US, 532262613 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Timothy Young Young Eagle |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 414-807-3682 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Behavioral Health Agency |
| Classification | |
| Group | |
| Description | A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| CONNECT | Wauwatosa | secure email | DIRECT | OTHER | No | 1720 E 8th Ave, Mesa, AZ, US |
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