YOUTH DEVELOPMENT INSTITUTE NPI 1336305176

NPI Information

YOUTH DEVELOPMENT INSTITUTE is a residential treatment facility emotionally disturbed children in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. YOUTH DEVELOPMENT INSTITUTE NPI is 1336305176. The provider is registered as an organization entity type.

The provider's business location address is:

1921 EAST PORTLAND STREET
PHOENIX, AZ
ZIP 85006
Phone: (602) 256-5300

The provider's authorized official is Trish Cocoros .
The authorized official title is Associate Director and has the following contact phone number (602) 256-5311.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.

Taxonomy Codes

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