EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.
NPI 1730375668
Residential Treatment Facility, Emotionally Disturbed Children in White River, AZ

Q: What is Eagledancer Youth And Family Services, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since September 25, 2007

305 WEST BEN GAY, WHITE RIVER, AZ 85941(928) 338-2312(928) 338-2313 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eagledancer Youth And Family Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLEDANCER YOUTH AND FAMILY SERVICES, INC. (NPI 1730375668) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in White River, Arizona and active in the NPI registry since September 2007. The organization lists Charla C Hatch, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1730375668

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameEAGLEDANCER YOUTH AND FAMILY SERVICES, INC.

Location Address305 WEST BEN GAYWhite River, AZ 85941

Mailing Address1323 Lobo Trl, 1323 Lobo TrailSnowflake, AZ 85937-5407 · (928) 227-3950

Phone(928) 338-2312

Fax(928) 338-2313

Organization SubpartNo

Authorized OfficialCharla C HatchExecutive Director · (928) 229-0560

Enumeration DateSeptember 25, 2007

Last NPPES UpdateMarch 15, 2011

✔ NPI 1730375668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

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.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

305 WEST BEN GAY, White River, AZ 85941

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Other Identifiers 1

Medicaid263967AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagledancer Youth And Family Services, Inc.'s NPI number?

The NPI number for Eagledancer Youth And Family Services, Inc. is 1730375668. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Eagledancer Youth And Family Services, Inc. located?

Eagledancer Youth And Family Services, Inc. is located at 305 West Ben Gay, White River, AZ 85941. The listed phone number is (928) 338-2312.

What is Eagledancer Youth And Family Services, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Eagledancer Youth And Family Services, Inc. was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.