Home Away From Home Behavioral Health Residential Facility

NPI #1053702563 in Peoria, Arizona

Provider Information

NPI Number
1053702563
Entity Type
Organization
Organization Name
Home Away From Home Behavioral Health Residential Facility
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Feb 5, 2015
Last Updated
Feb 5, 2015

Practice Location

Address
8572 W PALO VERDE AVE
City
Peoria
State
Arizona
ZIP Code
85345-5354
Phone
(623) 312-3485

Authorized Official

Name
MRS. TANYA M AYIYI
Title
ADMINISTRATOR
Phone
(623) 312-3485

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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