OrganizationActive
A-Making Changes
NPI 1780245506 · Psychiatric Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1780245506
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Allen Jeter, Ceo(480) 521-4815
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1010 W Euclid Ave
Phoenix, AZ 85041-8345
Phone: (480) 521-4815
Approximate (ZIP-level) locationGet directions
Mailing address
2942 N 24th St # 114-766
Phoenix, AZ 85016-7844
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2023-09-06
- Certified
- 2020-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.