Organization · Type 2 NPI

Home Away From Home Behavioral Health Residential Facility Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Peoria, AZ

NPI number 1790166072 Active

Practice location

9231 W Mountain View Rd
Peoria, AZ 85345-4306

Call (602) 559-6033 Map

Fax (623) 322-8622

Mailing address

PO Box 7077
Goodyear, AZ 85338-0635

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	BH4584 (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.

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About NPI 1790166072

Home Away From Home Behavioral Health Residential Facility Inc.'s National Provider Identifier is 1790166072, issued on Jun 12, 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 Jun 12, 2015.