Organization · Type 2 NPI

Home Away From Home Behavioral Health Residential Facility

Emotionally Disturbed Childrens' Residential Treatment Facility · Peoria, AZ

NPI number 1053702563 Active

Practice location

8572 W Palo Verde Ave
Peoria, AZ 85345-5354

Call (623) 312-3485 Map

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XBH4513 (AZ)

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.

3 other providers at this address

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About NPI 1053702563

Home Away From Home Behavioral Health Residential Facility's National Provider Identifier is 1053702563, issued on Feb 5, 2015. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Peoria, AZ. The record was last updated on Feb 5, 2015.