person
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. You can also correspond with Krystal Collins through the mailing address at 21010 S 220TH PL, QUEEN CREEK, AZ - 85142-5583 (mailing address contact number: ).

Location: 21010 S 220Th Pl, Queen Creek, AZ, 85142-5583
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
State
Zip
85142-5583
Phone Number
602-502-2388
Fax Number
person
Provider Business Mailing Address Details
Address
21010 S 220Th Pl
City
State
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
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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