Whalio Doctors

NPI 1346766953

Rite of Passage, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Queen Creek, AZ

Practice location

Address
20061 E Rittenhouse Rd, Queen Creek, AZ 85142-9715
Phone
(480) 987-2047
Mailing address
20275 E Rittenhouse Rd STE 105, Queen Creek, AZ 85142-1661

Authorised official

Name
Rusty E. Alexander
Title
Business Managing Director
Phone
(775) 392-2639

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence CSLG6685 (AZ)

Registry record

NPI
1346766953
Entity type
Organization
NPI issued
15 Aug 2017
Record last updated
15 Mar 2024

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.