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Krystal Collins
Emotionally Disturbed Childrens' Residential Treatment Facility in Queen Creek, Arizona
NPI 1477979607

Krystal Collins is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Queen Creek, AZ. Krystal Collins practices in Queen Creek, AZ. The NPI Number for Krystal Collins is 1477979607 and holds a License No. 514514 (Arizona).

The current practice location address for Krystal Collins is 21010 S 220Th Pl, Queen Creek, AZ and can be reached out via phone at 602-502-2388.

Location: 21010 S 220Th Pl, Queen Creek, AZ, 85142-5583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477979607
Provider Name
Krystal Collins
Credential
Provider Entity Type
Individual
Gender
Female
Address
21010 S 220Th Pl, Queen Creek, AZ, 85142-5583
Phone Number
602-502-2388
Fax Number
Provider Enumeration Date
03/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5807215 01 AZ PROFESSIONAL FOSTER PARENT
institution
Provider Business Practice Location Address Details
Address
21010 S 220Th Pl
City
Queen Creek
State
Arizona
Zip
85142-5583
Phone Number
602-502-2388
Fax Number
person
Provider Business Mailing Address Details
Address
21010 S 220Th Pl
City
Queen Creek
State
Arizona
Zip
85142-5583
Phone Number
602-502-2388
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
514514 (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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