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Youth Development Institute
Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona
NPI 1295809457

Youth Development Institute is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Phoenix, AZ. Youth Development Institute practices in Phoenix, AZ. The NPI Number for Youth Development Institute is 1295809457 and holds a License No. BH-1125 (Arizona).

The current practice location address for Youth Development Institute is 1050 N 19Th St, Phoenix, AZ and can be reached out via phone at 602-254-0884.

Location: 1050 N 19Th St, Phoenix, AZ, 85006-3641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295809457
Provider Name
Youth Development Institute
Credential
Provider Entity Type
Organization
Address
1050 N 19Th St, Phoenix, AZ, 85006-3641
Phone Number
602-254-0884
Fax Number
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
455255 01 AZ AHCCCS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1050 N 19Th St
City
Phoenix
State
Arizona
Zip
85006-3679
Phone Number
602-254-0884
Fax Number
person
Provider Business Mailing Address Details
Address
1050 N 19Th St
City
Phoenix
State
Arizona
Zip
85006-3679
Phone Number
602-254-0884
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH-1125 (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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