Organization
COMMUNITY ALLIANCE FOR YOUTH AND FAMILLY SERVICES
Active
Other names
Group Educational and Mentoring Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERMAINE NOEL FORT B.S. (ADMINISTRATOR)
(480) 703-4143
Entity
Organization
Contact information
Practice address
23568 N OASIS BLVD, FLORENCE, AZ 85232-8068
(520) 723-1337
Mailing address
23568 N OASIS BLVD, FLORENCE, AZ 85232-8068
(520) 723-1337
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
3179
AZ
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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