P.o.w.e.r. House Youth Facility
NPI #1588998520 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1588998520
- Entity Type
- Organization
- Organization Name
- P.o.w.e.r. House Youth Facility
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Sep 23, 2009
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 3039 E SUPERIOR RD
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85143-4580
- Phone
- (480) 458-5171
Authorized Official
- Name
- MR. GLEN ALLEN MAYBERRY, M.A. ED
- Title
- C.E.O.
- Phone
- (480) 203-3519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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