OrganizationActive
Youth Development Institute
NPI 1508939554 · Emotionally Disturbed Childrens' Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1508939554
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Trish Cocoros, Associate Director(602) 254-0884
- License
- BH-311 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1050 N 19th St
Bldg. a
Phoenix, AZ 85006-3679
Phone: (602) 254-0884
Street-level locationGet directions
Mailing address
1830 E Roosevelt St
Phoenix, AZ 85006-3641
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.