Individual provider · Type 1 NPI
Anthony Udoinwang
Emotionally Disturbed Childrens' Residential Treatment Facility · Glendale, AZ
Practice location
10435 W Reade Ave
Glendale, AZ 85307-4237
Fax (623) 594-0998
Mailing address
PO Box 14392
Phoenix, AZ 85063-4392
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.
About NPI 1639798143
Anthony Udoinwang's National Provider Identifier is 1639798143, issued on Apr 14, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Glendale, AZ. The record was last updated on Apr 14, 2020.