NPI 1508439597

Boj Health Corp

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Gilbert, AZ

Practice location

Address: 3924 E Andre Ave, Gilbert, AZ 85298-9161
Phone: (480) 250-7412

Authorised official

Name: Yaw Bediako Poku
Title: Chief Financial Officer
Phone: (480) 250-7412

Registered specialties (4)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1508439597
Entity type: Organization
NPI issued: 19 Jul 2021
Record last updated: 29 Jul 2021

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.