Individual provider · Type 1 NPI
Alice Clark
Child Mental Illness Respite Care · Florence, AZ
NPI number
1063589299
Active
Practice location
10720 E. Marigold Lane
Florence, AZ 85232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 10784 (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.
Other child mental illness respite care providers in Florence
About NPI 1063589299
Alice Clark's National Provider Identifier is 1063589299, issued on Nov 30, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Florence, AZ. The record was last updated on Jul 8, 2007.