Organization
ELITE YOUTH & FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE MALINDA WELLS BA (OWNER, PROGRAM DIRECTOR)
(480) 628-5339
Entity
Organization
Contact information
Practice address
600 W RAY RD STE D3, CHANDLER, AZ 85225-7266
(480) 628-5339
Mailing address
2620 E AUGUSTA AVE, CHANDLER, AZ 85249-4875
(480) 963-8537
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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