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Leighann Johnson, GROUPHOMEOWNER
Emotionally Disturbed Childrens' Residential Treatment Facility in San Tan Valley, Arizona
NPI 1629726583

Leighann Johnson is a Emotionally Disturbed Childrens' Residential Treatment Facility based in San Tan Valley, AZ. Leighann Johnson practices in San Tan Valley, AZ and has the professional credentials of GROUPHOMEOWNER. The NPI Number for Leighann Johnson is 1629726583 and holds a License No. (Arizona).

The current practice location address for Leighann Johnson is 1958 E Renegade Trl, San Tan Valley, AZ and can be reached out via phone at 928-250-9436.

Location: 1958 E Renegade Trl, San Tan Valley, AZ, 85143-6011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629726583
Provider Name
Leighann Johnson
Credential
GROUPHOMEOWNER
Provider Entity Type
Individual
Gender
Female
Address
1958 E Renegade Trl, San Tan Valley, AZ, 85143-6011
Phone Number
928-250-9436
Fax Number
Provider Enumeration Date
03/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1958 E Renegade Trl
City
San Tan Valley
State
Arizona
Zip
85143-4460
Phone Number
928-250-9436
Fax Number
person
Provider Business Mailing Address Details
Address
1958 E Renegade Trl
City
San Tan Valley
State
Arizona
Zip
85143-4460
Phone Number
928-250-9436
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
(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.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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