Healthcare Provider Details

I. General information

NPI: 1124802442
Provider Name (Legal Business Name): INTEGRITY YOUTH HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

552 N SANTA ANNA
MESA AZ
85201-4426
US

IV. Provider business mailing address

573 N BELL DR
CHANDLER AZ
85225-4072
US

V. Phone/Fax

Practice location:
  • Phone: 520-450-2333
  • Fax:
Mailing address:
  • Phone: 480-249-1105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KRISTA SCOTT
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 480-249-1105