Provider Demographics
NPI:1871776336
Name:NOYD PROGRAMS
Entity type:Organization
Organization Name:NOYD PROGRAMS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:NOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-228-9510
Mailing Address - Street 1:543 E BRIDGEPORT PKWY
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-5925
Mailing Address - Country:US
Mailing Address - Phone:480-228-9510
Mailing Address - Fax:480-219-8152
Practice Address - Street 1:543 E BRIDGEPORT PKWY
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-5925
Practice Address - Country:US
Practice Address - Phone:480-228-9510
Practice Address - Fax:480-219-8152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-3051322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children