Community Network and Fellow

NPI #1649452251 in Surprise, Arizona

Provider Information

NPI Number
1649452251
Entity Type
Organization
Organization Name
Community Network and Fellow
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Dec 5, 2007
Last Updated
Dec 5, 2007

Practice Location

Address
14019 N 149TH DR
State
Arizona
ZIP Code
85379-6012
Phone
(623) 533-1689

Authorized Official

Name
KISHA BERNICE SPELLMAN
Title
FACULTY ADMINISTRATOR
Phone
(623) 533-1689

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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