NPI 1013087352

Youth Development Institute

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Phoenix, AZ

Practice location

Address: 1830 E Roosevelt St, Phoenix, AZ 85006-3641
Phone: (602) 256-5300

Authorised official

Name: Trish Cocoros
Title: Associate Director
Phone: (602) 256-5300

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence BH-159 (AZ)

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

Registry record

NPI: 1013087352
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 22 Aug 2020

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.