Lic.2025-2026.Epowerment.Amethyst.Amend.1.21.2025_Redacted.pdf
PDF 3 MB Posted
- Attached to
- Master Agreement AZ|CTR071423
- Contract number
- CTR071423
- Issued by
- Arizona
About this file
This is a License issued by the Arizona Department of Child Safety, Office of Licensing and Regulation, for Empowerment Life Services, LLC. The document is an Amendment to a Child Welfare Residential Group Care license for a facility located in Maricopa County, Arizona. The license is specifically for the Amethyst location and was issued on January 1, 2025.
The license permits Empowerment Life Services, LLC to operate a residential group care facility with a capacity of 20 children, serving males and females aged 5-17 years. The amendment, effective January 21, 2025, adjusts the age range from six-to-seventeen (6-17) to five-to-seventeen (5-17). The license is valid until December 31, 2025, and includes an administrative office at the same location. The facility's Provider ID Number is 261492790, and the license type is marked as an Amendment.
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