Eagledancer Youth And Family Services, Inc. in White River - Community Based Residential Treatment Facility, Mental Illness

Eagledancer Youth And Family Services, Inc. - NPI 1730375668

Eagledancer Youth And Family Services, Inc. is a Community Based Residential Treatment Facility, Mental Illness in White River, Arizona. Eagledancer Youth And Family Services, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Eagledancer Youth And Family Services, Inc. is 1730375668. The last update date is 2011-03-15.

Eagledancer Youth And Family Services, Inc.'s current location address is 305 West Ben Gay, White River, Arizona. You can contact this provider via phone number 9283382312 and fax number 9283382313. The mailing address for Eagledancer Youth And Family Services, Inc. is 305 West Ben Gay, White River, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eagledancer Youth And Family Services, Inc.
Address 305 West Ben Gay, White River, Arizona
Phone Number 9283382312
Fax Number 9283382313
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Hatch C Charla
Telephone Number 9282290560

NPI Number Detail

NPI Number 1730375668
Provider Enumeration Date 2007-09-25
Last Updated Date 2011-03-15

Provider Mailing Address Detail

Address 305 West Ben Gay
City White River
State Arizona (AZ)
Post Code 85941
Phone Number 9283382312
Fax Number 9283382313

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
263967 AZ --

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FAQs about Eagledancer Youth And Family Services, Inc.

What is the unique 10-digit identifier code assigned to Eagledancer Youth And Family Services, Inc. by the Centers for Medicare & Medicaid Services?

The Eagledancer Youth And Family Services, Inc. has been issued the NPI (National Provider Identifier) 1730375668 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Eagledancer Youth And Family Services, Inc.?

The Eagledancer Youth And Family Services, Inc. is situated at 305 West Ben Gay, in the city of White River, state of AZ, with the zip code 85941.

What is Eagledancer Youth And Family Services, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Eagledancer Youth And Family Services, Inc. is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 320800000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1730375668 to Eagledancer Youth And Family Services, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1730375668 to Eagledancer Youth And Family Services, Inc. on 2007-09-25.

When was the Eagledancer Youth And Family Services, Inc.'s information last updated?

The Eagledancer Youth And Family Services, Inc.'s information was last updated on 2011-03-15.

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