DEFONSE FAMILY RESTORATION LLC
NPI 1568087716
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ
About Defonse Family Restoration Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEFONSE FAMILY RESTORATION LLC (NPI 1568087716) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since June 2020. The organization lists Nadine Defonse Fanfan, Asst Administrator/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Defonse Family Restoration LLC's NPI number?
The NPI number for Defonse Family Restoration LLC is 1568087716. It was assigned to this organization in the NPPES registry on June 13, 2020.
Where is Defonse Family Restoration LLC located?
Defonse Family Restoration LLC is located at 7812 W Wood Ln, Phoenix, AZ 85043. The listed phone number is (310) 956-7616.
What is Defonse Family Restoration LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
When was this NPI record last updated?
The NPPES record for Defonse Family Restoration LLC was last updated on June 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Defonse Family Restoration Llc · NPI 1568087716
Community Based Residential Treatment Facility, Mental Illness organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since June 13, 2020.
## Identity
- **NPI:** 1568087716 (Entity type: Organization)
- **Enumerated:** June 13, 2020
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Nadine Defonse Fanfan, ASST ADMINISTRATOR/MANAGER
## Practice location
- **Address:** 7812 W WOOD LN, Phoenix, AZ 85043-1426
- **Phone:** (310) 956-7616
## Record status
- **NPPES last updated:** June 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1568087716) · Data from the CMS NPPES public registry.