Organization · Type 2 NPI
The Wick Home for Emotional Growth and Recovery
Emotionally Disturbed Childrens' Residential Treatment Facility · Cottonwood, AZ
Practice location
2102 E Fir St
Cottonwood, AZ 86326
Fax (928) 639-1484
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 1972783355
The Wick Home for Emotional Growth and Recovery's National Provider Identifier is 1972783355, issued on Nov 14, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Cottonwood, AZ. The record was last updated on Nov 14, 2007.