Organization
UYI DEVELOPMENTAL CENTER FOR CHILDREN
Active
Other names
home away from home inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD AGHATISE AYIYI SR. BACHELOR DEGREE ADMI (ADMINISTRATOR)
(602) 301-0214
Entity
Organization
Contact information
Practice address
6202 W OREGON AVE, 5753 48TH LANE, GLENDALE, AZ 85301-6632
(602) 301-0214
Mailing address
5270 N 59TH AVE STE 11, GLENDALE, AZ 85301-6764
(623) 934-5291
(623) 934-5291
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
BH2362 BH2361
AZ
Other
Enumeration date
12/22/2006
Last updated
02/07/2008
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