NPI 1013627355

Ieesha Boykins

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Buckeye, AZ

Practice location

Address: 23612 W Pecan Rd, Buckeye, AZ 85326-7234
Phone: (916) 668-0563
Mailing address: 4706 N 124th Ave, Avondale, AZ 85392-4265

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1013627355
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2022
Record last updated: 28 Nov 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.