# UYI DEVELOPMENTAL CENTER FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** home away from home inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104981935
- **Authorized official:** MR. RICHARD AGHATISE AYIYI SR. BACHELOR DEGREE ADMI (ADMINISTRATOR)
- **Authorized official phone:** (602) 301-0214

## Contact information

- **Practice address:** 6202 W OREGON AVE, 5753 48TH LANE, GLENDALE, AZ 85301-6632
- **Practice address phone:** (602) 301-0214
- **Mailing address:** 5270 N 59TH AVE STE 11, GLENDALE, AZ 85301-6764
- **Mailing address phone:** (623) 934-5291
- **Mailing address fax:** (623) 934-5291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | BH2362 BH2361 | AZ | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 02/07/2008