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Estrella Vista Ranch Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Dragoon, Arizona
NPI 1689834103

Estrella Vista Ranch Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Dragoon, AZ. Estrella Vista Ranch Llc practices in Dragoon, AZ. The NPI Number for Estrella Vista Ranch Llc is 1689834103 and holds a License No. BH-3062 (Arizona).

The current practice location address for Estrella Vista Ranch Llc is 4911 East Silk Wind Blvd, Dragoon, AZ and can be reached out via phone at 520-586-9254.

Location: 4911 East Silk Wind Blvd, Dragoon, AZ, 85609-0235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689834103
Provider Name
Estrella Vista Ranch Llc
Credential
Provider Entity Type
Organization
Address
4911 East Silk Wind Blvd, Dragoon, AZ, 85609-0235
Phone Number
520-586-9254
Fax Number
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4911 East Silk Wind Blvd
City
Dragoon
State
Arizona
Zip
85609
Phone Number
520-586-9254
Fax Number
person
Provider Business Mailing Address Details
Address
4911 East Silk Wind Blvd
City
Dragoon
State
Arizona
Zip
85609
Phone Number
520-586-9254
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-3062 (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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