DHARMA RESIDENTIAL AZ LLC
NPI 1609667476
Residential Treatment Facility, Emotionally Disturbed Children in Maricopa, AZ

Active since May 13, 2025
19118 N SAN JUAN ST, MARICOPA, AZ 85138(314) 494-7603 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dharma Residential Az Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DHARMA RESIDENTIAL AZ LLC (NPI 1609667476) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Maricopa, Arizona and active in the NPI registry since May 2025. The organization lists Cermillia Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609667476
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameDHARMA RESIDENTIAL AZ LLC
Location Address19118 N SAN JUAN STMaricopa, AZ 85138-2532
Mailing Address19118 N San Juan StMaricopa, AZ 85138-2532 · (314) 494-7603
Organization SubpartNo
Authorized OfficialCermillia WilliamsCeo · (314) 494-7603
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
NPI 1609667476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
19118 N SAN JUAN ST, Maricopa, AZ 85138

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
19118 N SAN JUAN ST
MARICOPA, AZ 85138

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 Dharma Residential Az LLC's NPI number?

The NPI number for Dharma Residential Az LLC is 1609667476. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Dharma Residential Az LLC located?

Dharma Residential Az LLC is located at 19118 N San Juan St, Maricopa, AZ 85138. The listed phone number is (314) 494-7603.

What is Dharma Residential Az LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Dharma Residential Az LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.