Big John Group Home
Residential Treatment Facility, Emotionally Disturbed Children in El Mirage, AZ. Organization (NPI-2).
NPI number1255484366
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1255484366
- Entity type
- Organization (NPI-2)
- Legal business name
- Big John Group Home
- Organization subpart
- No
- Enumeration date
- Jan 19, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 723636 | AZ | Yes |
Practice location
12514 N 126th LnEl Mirage, AZ 85335-5206
Phone 480-202-2972 · Fax 623-546-0161
Mailing address
70 S Val Vista Dr Ste A3 # 44Gilbert, AZ 85296-1375
Phone 480-202-2972 · Fax 623-546-0161
Authorized official
Stephanie Kay Edwards
Director Of Operations
4802022972
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Other Emotionally Disturbed Childrens' Residential Treatment Facility providers in El Mirage, AZ
- A Mothers Love Residential Homes LLCNPI 1326469719
- All About KidsNPI 1225260441
- Big John Group HomeNPI 1497808851
- Unity Group Home, LLCNPI 1104008366
All 5 Emotionally Disturbed Childrens' Residential Treatment Facility providers in El Mirage · All 181 providers in El Mirage
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