Organization
YOUNG LIFE AL INC.
Active
Parent organization
YOUNG LIFE AL INC.
Other names
Young Life Behavioral Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUNG LIFE AL INC.
Authorized official
IONUT CALLINI (OPERATIONS DIRECTOR)
(602) 561-1285
Entity
Organization
Contact information
Practice address
2334 W RANCHO DR, PHOENIX, AZ 85015-2211
(602) 464-9557
(602) 464-9551
Mailing address
1518 W ORANGEWOOD AVE, PHOENIX, AZ 85021-7950
(602) 561-1285
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH-6294
DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
09/29/2020
Last updated
09/29/2020
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