COMMUNITY NETWORK AND FELLOW
NPI 1649452251
Residential Treatment Facility, Emotionally Disturbed Children in Surprise, AZ
- Organization
- Residential Treatment Facility, Emotiona...
About COMMUNITY NETWORK AND FELLOW
This page provides the complete NPI Profile along with additional information for Community Network And Fellow, a provider established in Surprise, Arizona operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1649452251 assigned on December 2007. The practitioner's primary taxonomy code is 322D00000X with license number BH2872 (AZ). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Kisha Bernice Spellman (Faculty Administrator)
- NPI
- 1649452251 Verify this NPI
- Provider Name
- COMMUNITY NETWORK AND FELLOW
- Entity Type
- Organization
- Location Address
- 14019 N 149TH DR SURPRISE, AZ 85379
- Location Phone
- (623) 533-1689
- Location Fax
- (623) 547-6210
- Mailing Address
- 14019 N 149TH DR SURPRISE, AZ 85379
- Mailing Phone
- (623) 533-1689
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2007
- Last Update Date
- 12-05-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- BH2872
- License State
- AZ
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649452251, enumerated as an "organization" on December 05, 2007.
The provider is located at 14019 N 149TH DR SURPRISE, AZ 85379 and the phone number is (623) 533-1689.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
