OrganizationActive
145th Lane
NPI 1083876825 · Mental Illness Community Based Residential Treatment Facility · Surprise, AZ
Provider details
- NPI number
- 1083876825
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Elizabeth Singleton, Administator
- License
- BH - 3107 (AZ)
Mailing address
15266 N 145th Ln
Surprise, AZ 85379-8519
Registry dates
- Enumerated
- 2008-07-01
- Last updated
- 2008-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.