NPI 1770477911

Embracing Excellence Group Home LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Laveen, AZ

Practice location

Address: 6519 W Branham Ln, Laveen, AZ 85339-2723
Phone: (623) 600-4106
Fax: (888) 863-2482

Authorised official

Name: Latesha Edmon
Title: Ceo
Phone: (623) 600-4106

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1770477911
Entity type: Organization
NPI issued: 4 Jun 2025
Record last updated: 4 Jun 2025

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.