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Sequelcare Of Arizona, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Flagstaff, Arizona
NPI 1184712143

Sequelcare Of Arizona, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Prescott Valley, AZ. Sequelcare Of Arizona, Llc practices in Flagstaff, AZ. The NPI Number for Sequelcare Of Arizona, Llc is 1184712143 and holds a License No. BH-3337 (Arizona).

The current practice location address for Sequelcare Of Arizona, Llc is 6070 N. Treadway Trail, Flagstaff, AZ and can be reached out via phone at 928-526-1499 and via fax at 928-526-1151. You can also correspond with Sequelcare Of Arizona, Llc through the mailing address at 8603 E. EASTRIDGE DRIVE, PRESCOTT VALLEY, AZ - 86314 (mailing address contact number: 928-777-3280).

Location: 6070 N. Treadway Trail, Flagstaff, AZ, 86314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184712143
Provider Name
Sequelcare Of Arizona, Llc
Credential
Provider Entity Type
Organization
Address
6070 N. Treadway Trail, Flagstaff, AZ, 86314
Phone Number
928-526-1499
Fax Number
928-526-1151
Provider Enumeration Date
10/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
871211 05 AZ
717407 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
6070 N. Treadway Trail
City
Flagstaff
State
Arizona
Zip
86004
Phone Number
928-526-1499
Fax Number
928-526-1151
person
Provider Business Mailing Address Details
Address
8603 E. Eastridge Drive
City
Prescott Valley
State
Arizona
Zip
86314
Phone Number
928-777-3280
Fax Number
928-778-1252
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
BH-3337 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH-3337 (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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