Individual provider · Type 1 NPI
Linda Beth Gomez
Emotionally Disturbed Childrens' Residential Treatment Facility · Phoenix, AZ
NPI number
1053517672
Active
Practice location
15415 N 45th St
Phoenix, AZ 85032-4242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
Other emotionally disturbed childrens' residential treatment facility providers in Phoenix
About NPI 1053517672
Linda Beth Gomez's National Provider Identifier is 1053517672, issued on Jun 21, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.