Home Away From Home Behavioral Health Residential Facility Valid NPI
Organization · Emotionally Disturbed Childrens' Residential Treatment Facility · Peoria, AZ
- NPI
- 1053702563
- Type
- Organization (Type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facility, Emotionally Disturbed Children)
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 322D00000X
- License number
- BH4513 (AZ)
- Enumerated
- 2015-02-05
- Last updated
- 2015-02-05
Practice location
8572 W Palo Verde Ave
Peoria, AZ 85345-5354
(623) 312-3485