Yajcinllc
NPI #1174774608 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1174774608
- Entity Type
- Organization
- Organization Name
- Yajcinllc
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 2, 2008
- Last Updated
- Oct 2, 2008
Practice Location
- Address
- 1609 E HEATHER DR
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85240-5682
- Phone
- (480) 393-0662
Authorized Official
- Name
- KWADWO KANTANKA
- Title
- ADMINISTRATOR/CEO
- Phone
- (480) 393-0662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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