Yajcinllc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH-3086 Issued in AZ

Legal business name

YAJCINLLC

Practice address

1609 E Heather Dr
Queen Creek, AZ 85240-5682

Phone

(480) 393-0662

Fax

(602) 283-3476

NPI assigned

Oct 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kwadwo Kantanka

Title

Administrator/Ceo

Phone

(480) 393-0662

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1174774608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E HEATHER DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852405682",
            "telephone_number": "480-393-0662",
            "fax_number": "602-283-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E HEATHER DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852405682",
            "telephone_number": "480-393-0662",
            "fax_number": "602-283-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAJCINLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "KANTANKA",
        "authorized_official_first_name": "KWADWO",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "480-393-0662"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH-3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaney R Wright
• Lorraine Wright, SLPA
• Tracy B Wright
• Kelly A Xiong, PHARMD
• Coleen Yahl, FNP-C, WCC
• Sai Suhasini Yanamandra
• Ru Guo Yang
• Rojelio Yepez Jr., PHARMD
• Young Family Care Homes and Investments,LLC
• Shadan Zangana, OD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.