THE WICK HOME FOR EMOTIONAL GROWTH AND RECOVERY NPI 1972783355

NPI Information

THE WICK HOME FOR EMOTIONAL GROWTH AND RECOVERY is a residential treatment facility emotionally disturbed children in Cottonwood, 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. THE WICK HOME FOR EMOTIONAL GROWTH AND RECOVERY NPI is 1972783355. The provider is registered as an organization entity type.

The provider's business location address is:

2102 E FIR ST
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 639-9425
Fax: (928) 639-1484

The provider's authorized official is Todd Rosenblatt .
The authorized official title is Program Director and has the following contact phone number (928) 639-9425.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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