License_Amethyst_House_Redacted.pdf
PDF 3 MB Posted
- Attached to
- Master Agreement AZ|CTR071423
- Contract number
- CTR071423
- Issued by
- Arizona
About this file
This document is a Child Welfare Residential Group Care License issued by the Arizona Department of Child Safety, Office of Licensing and Regulation, for Empowerment Life Services, LLC. The license is located in Maricopa County, Arizona, and is an amendment to their existing license.
The license permits Empowerment Life Services, LLC to operate a residential group care facility for 20 children aged 5-17 years, both male and female. The amendment, effective December 3, 2024, adds a new facility (Jasper) and increases the total population capacity. The license is valid until December 31, 2024, and provides residential group care services. The Provider ID Number is 2614292790, and the facility's administrative office is located at the licensed site.
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