Organization · NPI-2

Arizona Baptist Children'S Services

Residential Treatment Facility, Emotionally Disturbed Children · Phoenix, AZ

NPI number1407957467
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1407957467
Entity type
Organization (NPI-2)
Legal business name
Arizona Baptist Children'S Services
Organization subpart
No
Enumeration date
Sep 25, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed ChildrenBH2681AZYes
322D00000X Residential Treatment Facility, Emotionally Disturbed ChildrenBH2784AZ
322D00000X Residential Treatment Facility, Emotionally Disturbed ChildrenBH1340AZ

Practice location

1717 W Northern Ave
Phoenix, AZ 85021-5469

Phone 602-346-2300 · Fax 602-346-2399

Mailing address

Po Box 35637
Phoenix, AZ 85069-5637

Phone 602-346-2300 · Fax 602-346-2399

Authorized official

Don E. Mcdaniel
Senior Vice President
6023462319

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