Youth Development Institute in Phoenix - Residential Treatment Facility, Emotionally Disturbed Children
Youth Development Institute - NPI 1013087352
Youth Development Institute is a Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, Arizona. Youth Development Institute practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Youth Development Institute is 1013087352. The last update date is 2020-08-22.
Youth Development Institute's current location address is 1830 E Roosevelt St, Phoenix, Arizona. You can contact this provider via phone number 6022565300. The mailing address for Youth Development Institute is 1830 E Roosevelt St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Development Institute |
|---|---|
| Address | 1830 E Roosevelt St, Phoenix, Arizona |
| Phone Number | 6022565300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Cocoros Trish |
| Telephone Number | 6022565300 |
NPI Number Detail
| NPI Number | 1013087352 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1830 E Roosevelt St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850063641 |
| Phone Number | 6022565300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | BH-159 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 593518 | AZ | AHCCCS PROVIDER # |
Post Comment/ Review Below
What is the Youth Development Institute's 1013087352?
The Youth Development Institute's NPI (National Provider Identifier) Number is 1013087352. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Youth Development Institute's physical address?
The Youth Development Institute is physically located at 1830 E Roosevelt St, in the city of Phoenix, AZ, with the postal code 850063641.
What is Youth Development Institute's area of expertise and its corresponding taxonomy classification?
The Youth Development Institute's field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1013087352 to Youth Development Institute?
The Centers for Medicare & Medicaid Services assigned the 1013087352 to Youth Development Institute on 2006-11-08.
When was the information pertaining to Youth Development Institute most recently updated or revised?
The details related to Youth Development Institute, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.