Provider Demographics
NPI:1073102208
Name:RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.
Entity Type:Organization
Organization Name:RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAV HEALTH COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:480-987-2053
Mailing Address - Street 1:20275 E RITTENHOUSE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-4534
Mailing Address - Country:US
Mailing Address - Phone:480-987-2053
Mailing Address - Fax:
Practice Address - Street 1:20545 STATE ROUTE 89
Practice Address - Street 2:
Practice Address - City:MARKLEEVILLE
Practice Address - State:CA
Practice Address - Zip Code:96120-9527
Practice Address - Country:US
Practice Address - Phone:530-694-2302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-12
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health