NPI 1003059585

Community Alliance for Youth and Familly Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Florence, AZ

Practice location

Address: 23568 N Oasis Blvd, Florence, AZ 85232-8068
Phone: (520) 723-1337

Authorised official

Name: Shermaine Noel Fort
Title: Administrator
Phone: (480) 703-4143

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 3179 (AZ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Arizona →

Registry record

NPI: 1003059585
Entity type: Organization
NPI issued: 13 Apr 2009
Record last updated: 13 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.