Eagledancer Youth And Family Services, Inc. in White River - Residential Treatment Facility, Emotionally Disturbed Children
Eagledancer Youth And Family Services, Inc. - NPI 1730375668
Eagledancer Youth And Family Services, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in White River, Arizona. Eagledancer Youth And Family Services, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. 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 | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 263967 | AZ | -- |
Post Comment/ Review Below
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 Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
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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