South Mountain Holistic Care
NPI 1770038564 · Mental Illness Intermediate Care Facility · Laveen, AZ
South Mountain Holistic Care is a Mental Illness Intermediate Care Facility organization in Laveen, AZ (NPI 1770038564).
Provider details
- NPI number
- 1770038564
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Brigham, Executive Director(602) 565-5909
- License
- BH4914 (AZ)
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-22
- Last updated
- 2016-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.