Individual provider · Type 1 NPI

Coretta Muhammad

Child Mental Illness Respite Care · Tolleson, AZ

NPI number 1073688552 Active

Practice location

9371 W Williams St
Tolleson, AZ 85353-8342

Call (623) 848-6252 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X1419 (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 1073688552

Coretta Muhammad's National Provider Identifier is 1073688552, issued on Nov 21, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Tolleson, AZ. The record was last updated on Apr 8, 2010.