NPI 1588998520

P.O.W.E.R. House Youth Facility

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

Practice location

Address: 3039 E Superior Rd, Queen Creek, AZ 85143-4580
Phone: (480) 458-5171
Fax: (480) 268-7167
Mailing address: PO Box 51660, Mesa, AZ 85208-0083

Authorised official

Name: Glen Allen Mayberry
Title: C.E.O.
Phone: (480) 203-3519

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1588998520
Entity type: Organization
NPI issued: 23 Sep 2009
Record last updated: 21 Jul 2022

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.