Individual provider · Type 1 NPI
Ieesha Boykins
Emotionally Disturbed Childrens' Residential Treatment Facility · Buckeye, AZ
Practice location
23612 W Pecan Rd
Buckeye, AZ 85326-7234
Mailing address
4706 N 124th Ave
Avondale, AZ 85392-4265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1013627355
Ieesha Boykins's National Provider Identifier is 1013627355, issued on Nov 28, 2022. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Buckeye, AZ. The record was last updated on Nov 28, 2022.