Individual provider · Type 1 NPI
Krystal Collins
Emotionally Disturbed Childrens' Residential Treatment Facility · Queen Creek, AZ
Practice location
21010 S 220th Pl
Queen Creek, AZ 85142-5583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 514514 (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.
About NPI 1477979607
Krystal Collins's National Provider Identifier is 1477979607, issued on Mar 12, 2014. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Queen Creek, AZ. The record was last updated on Mar 12, 2014.