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Eagledancer Youth And Family Services, Inc.
Substance Abuse Rehabilitation Facility in White River, Arizona
NPI 1730375668

Eagledancer Youth And Family Services, Inc. is a Substance Abuse Rehabilitation Facility based in Snowflake, AZ. Eagledancer Youth And Family Services, Inc. practices in White River, AZ. The NPI Number for Eagledancer Youth And Family Services, Inc. is 1730375668 and holds a License No. (Arizona).

The current practice location address for Eagledancer Youth And Family Services, Inc. is 305 West Ben Gay, White River, AZ and can be reached out via phone at 928-338-2312 and via fax at 928-338-2313.

Location: 305 West Ben Gay, White River, AZ, 85937-5407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730375668
Provider Name
Eagledancer Youth And Family Services, Inc.
Credential
Provider Entity Type
Organization
Address
305 West Ben Gay, White River, AZ, 85937-5407
Phone Number
928-338-2312
Fax Number
928-338-2313
Provider Enumeration Date
09/25/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
263967 05 AZ
institution
Provider Business Practice Location Address Details
Address
305 West Ben Gay
City
White River
State
Arizona
Zip
85941
Phone Number
928-338-2312
Fax Number
928-338-2313
person
Provider Business Mailing Address Details
Address
305 West Ben Gay
City
White River
State
Arizona
Zip
85941
Phone Number
928-338-2312
Fax Number
928-338-2313
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
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 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Arizona)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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