SearchArizonaEmotionally Disturbed Childrens' Residential Treatment Facility

Ieesha Boykins

NPI 1013627355 · on the registry since 2022 · sole proprietor

Practice

Address
23612 W Pecan Rd
Buckeye, AZ 85326
Phone
(916) 668-0563
Organisation at this address
House Of Tranquility Group Home Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona