NPI 1386958239

Family Support Care

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Chandler, AZ

Practice location

Address: 1209 W Boston St, Chandler, AZ 85224-6168
Phone: (614) 286-8511
Fax: (614) 416-2091

Authorised official

Name: Kingsley S Okyere
Title: MD
Phone: (614) 286-8511

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence BH-3567 (AZ)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1386958239
Entity type: Organization
NPI issued: 3 Aug 2010
Record last updated: 3 Aug 2010

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.