in Sierra Vista - Residential Treatment Facility, Emotionally Disturbed Children
- NPI 1336250190
is a Residential Treatment Facility, Emotionally Disturbed Children in Sierra Vista, Arizona. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for is 1336250190. The last update date is .
's current location address is 345 Taylor Dr, Sierra Vista, Arizona. You can contact this provider via phone number 5204172115 and fax number 5204172114. The mailing address for is 345 Taylor Dr, Sierra Vista, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 345 Taylor Dr, Sierra Vista, Arizona |
| Phone Number | 5204172115 |
| Fax Number | 5204172114 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336250190 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 345 Taylor Dr |
|---|---|
| City | Sierra Vista |
| State | Arizona (AZ) |
| Post Code | 856353801 |
| Phone Number | 5204172115 |
| Fax Number | 5204172114 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | BH-2206 |
|
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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