Amend.Lic.RemovedQRTP.10.31.2024_Redacted.pdf

PDF 102 KB Posted

Attached to
Master Agreement AZ|CTR071417
Contract number
CTR071417
Issued by
Arizona

About this file

This document is a license issued by the Arizona Department of Child Safety's Office of Licensing and Regulation for Cross Paths, a Child Welfare Residential Group Care facility located in Pinal County, Arizona. The license is an amendment to their existing authorization, specifically for the Caspian facility.

The license permits Cross Paths to operate a residential group care facility with a capacity of sixteen (16) children, specifically for males aged seven to seventeen (7-17) years old. The amendment, effective October 31, 2024, removes QRTP from the Caspian House. The facility's administrative office is located at the same address, with a focus on serving six (6) children aged eight to seventeen (8-17). The license is valid until June 13, 2025, and is identified by the Provider ID No. 821960196. The document specifies the provided services as Residential Group Care Facility, with the license type noted as an Amendment.

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