DARRELL LEMONT ELLIS

MARICOPA, AZ
NPI1174925424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: AZ  BHRF20103)
Enumeration Date2014-09-18
Last Update Date2025-12-06
Business Address
Mr. DARRELL LEMONT ELLIS Administrator
43646 W YUCCA LN
MARICOPA, AZ 85138-2011
Phone number: 520-483-4219
Mailing Address
Mr. DARRELL LEMONT ELLIS Administrator
43646 W YUCCA LN
MARICOPA, AZ 85138-2011
Phone number: 520-483-4219
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