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Community Network And Fellow
Emotionally Disturbed Childrens' Residential Treatment Facility in Surprise, Arizona
NPI 1649452251

Community Network And Fellow is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Surprise, AZ. Community Network And Fellow practices in Surprise, AZ. The NPI Number for Community Network And Fellow is 1649452251 and holds a License No. BH2872 (Arizona).

The current practice location address for Community Network And Fellow is 14019 N 149Th Dr, Surprise, AZ and can be reached out via phone at 623-533-1689 and via fax at 623-547-6210.

Location: 14019 N 149Th Dr, Surprise, AZ, 85379-6012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649452251
Provider Name
Community Network And Fellow
Credential
Provider Entity Type
Organization
Address
14019 N 149Th Dr, Surprise, AZ, 85379-6012
Phone Number
623-533-1689
Fax Number
623-547-6210
Provider Enumeration Date
12/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14019 N 149Th Dr
City
Surprise
State
Arizona
Zip
85379-6012
Phone Number
623-533-1689
Fax Number
623-547-6210
person
Provider Business Mailing Address Details
Address
14019 N 149Th Dr
City
Surprise
State
Arizona
Zip
85379-6012
Phone Number
623-533-1689
Fax Number
623-547-6210
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH2872 (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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