MR. DARRELL ELLIS JR., ADMINISTRATOR

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1174925424

Practice Address

43646 W YUCCA LN
Maricopa, AZ 85138

Phone: (520) 483-4219

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes BHRF20103 (AZ)

Frequently Asked Questions

NPI 1174925424 is the National Provider Identifier for MR. DARRELL ELLIS JR., ADMINISTRATOR, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Maricopa, AZ. This NPI was enumerated on September 18, 2014.
MR. DARRELL ELLIS JR., ADMINISTRATOR practices at 43646 W YUCCA LN, Maricopa, AZ 85138.

Quick Facts

NPI
1174925424
Type
Individual
Enumerated
Sep 18, 2014
Last Updated
Dec 6, 2025

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