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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

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