Krystal Collins Valid NPI

Individual provider · Emotionally Disturbed Childrens' Residential Treatment Facility · Queen Creek, AZ

NPI

1477979607

Type

Individual (Type 1)

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facility, Emotionally Disturbed Children)

Specialty group

Residential Treatment Facilities

Taxonomy code

322D00000X

License number

514514 (AZ)

Sex

Female

Sole proprietor

Yes

Enumerated

2014-03-12

Last updated

2014-03-12