# ARIZONA'S PINAL COUNTY YOUTH @ CABABI HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881838399
- **Authorized official:** ALICE B PERRY (ADMINISTRATOR)
- **Authorized official phone:** (520) 494-9723

## Contact information

- **Practice address:** 14643 S CABABI ROAD, ARIZONA CITY, AZ 85223-1427
- **Practice address phone:** (520) 494-9723
- **Mailing address:** PO BOX 1427, ARIZONA CITY, AZ 85223-1427
- **Mailing address phone:** (520) 494-9723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH3220 | AZ | Yes |

## Other

- **Enumeration date:** 04/28/2009
- **Last updated:** 05/01/2009