Organization · Type 2 NPI
Eagledancer Youth and Family Services, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · White River, AZ
Practice location
305 West Ben Gay
White River, AZ 85941
Fax (928) 338-2313
Mailing address
1323 Lobo Trl, 1323 Lobo Trail
Snowflake, AZ 85937-5407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | 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 1730375668
Eagledancer Youth and Family Services, Inc.'s National Provider Identifier is 1730375668, issued on Sep 25, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in White River, AZ. The record was last updated on Mar 15, 2011.