Organization
COLORS TO HEAVEN KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASHIRA MCCRAY (CEO)
(602) 600-8748
Entity
Organization
Contact information
Practice address
188 E JEFFERSON ST APT 701, PHOENIX, AZ 85004-2899
(602) 600-8748
Mailing address
188 E JEFFERSON ST APT 701, PHOENIX, AZ 85004-2899
(602) 600-8748
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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