Mr. Darrell Lemont Ellis Jr., ADMINISTRATOR
Mr. Darrell Lemont Ellis Jr., ADMINISTRATOR is an Emotionally Disturbed Childrens' Residential Treatment Facility in Maricopa, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2014
Practice location Address checks out
43646 W Yucca LnMaricopa, AZ 85138-2011
Phone: (520) 483-4219
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence BHRF20103 (AZ) |
|---|
Record details
| NPI number | 1174925424 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ADMINISTRATOR |
| Sole proprietor | Yes |
| NPI enumerated | September 18, 2014 |
| Last updated in NPPES | December 6, 2025 |
| Certification date | December 6, 2025 |
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