NPI 1790166072

Home Away From Home Behavioral Health Residential Facility INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Peoria, AZ

Practice location

Address: 9231 W Mountain View Rd, Peoria, AZ 85345-4306
Phone: (602) 559-6033
Fax: (623) 322-8622
Mailing address: PO Box 7077, Goodyear, AZ 85338-0635

Authorised official

Name: Tanya Marguerite Ayiyi
Title: Ceo
Phone: (602) 559-6033

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence BH4584 (AZ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Arizona →

Registry record

NPI: 1790166072
Entity type: Organization
NPI issued: 12 Jun 2015
Record last updated: 12 Jun 2015

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.