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Arizona Baptist Children's Services
Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona
NPI 1407957467

Arizona Baptist Children's Services is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Phoenix, AZ. Arizona Baptist Children's Services practices in Phoenix, AZ. The NPI Number for Arizona Baptist Children's Services is 1407957467 and holds a License No. BH2681 (Arizona).

The current practice location address for Arizona Baptist Children's Services is 1717 W Northern Ave, Phoenix, AZ and can be reached out via phone at 602-346-2300 and via fax at 602-346-2399.

Location: 1717 W Northern Ave, Phoenix, AZ, 85069-5637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407957467
Provider Name
Arizona Baptist Children's Services
Credential
Provider Entity Type
Organization
Address
1717 W Northern Ave, Phoenix, AZ, 85069-5637
Phone Number
602-346-2300
Fax Number
602-346-2399
Provider Enumeration Date
09/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
044678 01 AZ AHCCCS PROVIDER ID NO
011411 01 AZ AHCCCS PROVIDER ID NO.
1020012 01 AZ ADHS PROVIDER ID NO
117284 01 AZ AHCCCS PROVIDER ID NO.
1020005 01 AZ ADHS PROVIDER ID NO.
1020010 01 AZ ADHS PROVIDER ID NO.
institution
Provider Business Practice Location Address Details
Address
1717 W Northern Ave
City
Phoenix
State
Arizona
Zip
85021-5469
Phone Number
602-346-2300
Fax Number
602-346-2399
person
Provider Business Mailing Address Details
Address
1717 W Northern Ave
City
Phoenix
State
Arizona
Zip
85021-5469
Phone Number
602-346-2300
Fax Number
602-346-2399
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH2681 (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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