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Organization
FOUNDATION FOR ARIZONA'S YOUTH, LLC
Active
Organization
FOUNDATION FOR ARIZONA'S YOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATOYA MONIQUE WILLIAMS (CHIEF ADMINISTRATIVE OFFICER)
(520) 723-1626
Entity
Organization
Contact information
Practice address
1404 S 7TH ST, COOLIDGE, AZ 85228-4146
(520) 723-1626
Mailing address
1404 S 7TH ST, COOLIDGE, AZ 85228-4146
(520) 723-1626
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-2854
AZ
Other
Enumeration date
03/24/2007
Last updated
07/18/2008
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