Eagledancer Youth and Family Services, Inc
Eagledancer Youth and Family Services, Inc is a Mental Illness Community Based Residential Treatment Facility in White River, Arizona. Licensed in Arizona. Registered with an NPI since 2007.
- Licensed in
- AZ
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
305 W Ben GayWhite River, AZ 85941
Phone: (928) 338-2312
Fax: (928) 338-2313
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X (AZ) |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X (AZ) |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X (AZ) |
Record details
| NPI number | 1730375668 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charla Hatch — Executive Director · (928) 229-0560 |
| NPI enumerated | September 25, 2007 |
| Last updated in NPPES | March 15, 2011 |
| Mailing address | 1323 Lobo Trl, 1323 Lobo Trail, Snowflake, AZ 85937-5407 |