Denali Youth Homes of Arizona LLC

NPI #1215750401 in Phoenix, Arizona

Provider Information

NPI Number: 1215750401
Entity Type: Organization
Organization Name: Denali Youth Homes of Arizona LLC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Nov 5, 2024
Last Updated: Nov 5, 2024

Practice Location

Address: 5747 W WARNER ST
City: Phoenix
State: Arizona
ZIP Code: 85043-6432
Phone: (907) 301-0333

Authorized Official

Name: JOHNNY TYSON
Title: CEO
Phone: (907) 301-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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