Organization
FOUNDATION FOR ARIZONA'S YOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATOYA MONIQUE WILLIAMS (CHIEF ADMINISTRATIVE OFFICER)
(520) 723-1626
Entity
Organization
Contact information
Practice address
1404 S 7TH ST, COOLIDGE, AZ 85228-4146
(520) 723-1626
Mailing address
1404 S 7TH ST, COOLIDGE, AZ 85228-4146
(520) 723-1626
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-2854
AZ
Other
Enumeration date
03/24/2007
Last updated
07/18/2008
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