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Yajcinllc
Emotionally Disturbed Childrens' Residential Treatment Facility in Queen Creek, Arizona
NPI 1174774608

Yajcinllc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Queen Creek, AZ. Yajcinllc practices in Queen Creek, AZ. The NPI Number for Yajcinllc is 1174774608 and holds a License No. BH-3086 (Arizona).

The current practice location address for Yajcinllc is 1609 E Heather Dr, Queen Creek, AZ and can be reached out via phone at 480-393-0662 and via fax at 602-283-3476.

Location: 1609 E Heather Dr, Queen Creek, AZ, 85240-5682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174774608
Provider Name
Yajcinllc
Credential
Provider Entity Type
Organization
Address
1609 E Heather Dr, Queen Creek, AZ, 85240-5682
Phone Number
480-393-0662
Fax Number
602-283-3476
Provider Enumeration Date
10/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1609 E Heather Dr
City
Queen Creek
State
Arizona
Zip
85240-5682
Phone Number
480-393-0662
Fax Number
602-283-3476
person
Provider Business Mailing Address Details
Address
1609 E Heather Dr
City
Queen Creek
State
Arizona
Zip
85240-5682
Phone Number
480-393-0662
Fax Number
602-283-3476
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH-3086 (Arizona)
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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