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Anthony Udoinwang
Emotionally Disturbed Childrens' Residential Treatment Facility in Glendale, Arizona
NPI 1639798143

Anthony Udoinwang is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Phoenix, AZ. Anthony Udoinwang practices in Glendale, AZ. The NPI Number for Anthony Udoinwang is 1639798143 and holds a License No. (Arizona).

The current practice location address for Anthony Udoinwang is 10435 W Reade Ave, Glendale, AZ and can be reached out via phone at 623-594-0997 and via fax at 623-594-0998. You can also correspond with Anthony Udoinwang through the mailing address at PO BOX 14392, PHOENIX, AZ - 85063-4392 (mailing address contact number: 602-757-4861).

Location: 10435 W Reade Ave, Glendale, AZ, 85063-4392
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639798143
Provider Name
Anthony Udoinwang
Credential
Provider Entity Type
Individual
Gender
Male
Address
10435 W Reade Ave, Glendale, AZ, 85063-4392
Phone Number
623-594-0997
Fax Number
623-594-0998
Provider Enumeration Date
04/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10435 W Reade Ave
City
Glendale
State
Arizona
Zip
85307-4237
Phone Number
623-594-0997
Fax Number
623-594-0998
person
Provider Business Mailing Address Details
Address
10435 W Reade Ave
City
Glendale
State
Arizona
Zip
85307-4237
Phone Number
623-594-0997
Fax Number
623-594-0998
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
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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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