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American Eagle Boys Ranch, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Somerton, Arizona
NPI 1669644167

American Eagle Boys Ranch, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Yuma, AZ. American Eagle Boys Ranch, Llc practices in Somerton, AZ. The NPI Number for American Eagle Boys Ranch, Llc is 1669644167 and holds a License No. BH-2805 (Arizona).

The current practice location address for American Eagle Boys Ranch, Llc is 3536 W Venus Dr, Somerton, AZ and can be reached out via phone at 928-726-6764.

Location: 3536 W Venus Dr, Somerton, AZ, 85366-0508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669644167
Provider Name
American Eagle Boys Ranch, Llc
Credential
Provider Entity Type
Organization
Address
3536 W Venus Dr, Somerton, AZ, 85366-0508
Phone Number
928-726-6764
Fax Number
Provider Enumeration Date
03/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
921850 05 AZ
institution
Provider Business Practice Location Address Details
Address
3536 W Venus Dr
City
Somerton
State
Arizona
Zip
85350-7245
Phone Number
928-726-6764
Fax Number
person
Provider Business Mailing Address Details
Address
3536 W Venus Dr
City
Somerton
State
Arizona
Zip
85350-7245
Phone Number
928-726-6764
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH-2805 (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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