Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Samantha Joette Kuroski

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1295644185

Samantha Joette Kuroski is registered under Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
Specialties on file
3

Practice location Address checks out

12 W Vernon Ave
Phoenix, AZ 85003-1039
Phone: (406) 207-7859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X (AZ)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X (AZ)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X (AZ)

Record details

NPI number1295644185
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 4, 2026
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026

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