Individual provider · Type 1 NPI
Maurice Nicholas Willis
Child Mental Illness Respite Care · Phoenix, AZ
NPI number
1043367352
Active
Practice location
1213 E Echo Ln
Phoenix, AZ 85020-3827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 10990 (AZ) |
Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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About NPI 1043367352
Maurice Nicholas Willis's National Provider Identifier is 1043367352, issued on Jan 5, 2007. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.