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Search › Arizona › Emotionally Disturbed Childrens' Residential Treatment Facility

Darrell Ellis, ADMINISTRATOR

NPI 1174925424 · on the registry since 2014 · sole proprietor

Practice

Address
43646 W Yucca Ln
Maricopa, AZ 85138
Phone
(520) 483-4219
Organisation at this address
Successful Livings 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
Male
Record last updated
2025-12-06

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