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Brighter Heights Arizona, Llc Dba Blue Ridge Manor
Emotionally Disturbed Childrens' Residential Treatment Facility in Dewey, Arizona
NPI 1922190958

Brighter Heights Arizona, Llc Dba Blue Ridge Manor is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Prescott Valley, AZ. Brighter Heights Arizona, Llc Dba Blue Ridge Manor practices in Dewey, AZ. The NPI Number for Brighter Heights Arizona, Llc Dba Blue Ridge Manor is 1922190958 and holds a License No. BH-2374 (Arizona).

The current practice location address for Brighter Heights Arizona, Llc Dba Blue Ridge Manor is 14410 E Blue Ridge Rd, Dewey, AZ and can be reached out via phone at 928-632-8078 and via fax at 928-632-8082.

Location: 14410 E Blue Ridge Rd, Dewey, AZ, 86314-2597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922190958
Provider Name
Brighter Heights Arizona, Llc Dba Blue Ridge Manor
Credential
Provider Entity Type
Organization
Address
14410 E Blue Ridge Rd, Dewey, AZ, 86314-2597
Phone Number
928-632-8078
Fax Number
928-632-8082
Provider Enumeration Date
09/28/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
824509 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
14410 E Blue Ridge Rd
City
Dewey
State
Arizona
Zip
86327-6754
Phone Number
928-632-8078
Fax Number
928-632-8082
person
Provider Business Mailing Address Details
Address
14410 E Blue Ridge Rd
City
Dewey
State
Arizona
Zip
86327-6754
Phone Number
928-632-8078
Fax Number
928-632-8082
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH-2374 (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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