Individual provider · Type 1 NPI

Noel I. Vandyke

Child Mental Illness Respite Care · Queen Creek, AZ

NPI number 1073748463 Active

Practice location

3542 E Amarillo Way
Queen Creek, AZ 85240-4320

Call (480) 888-9413 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X1349601 (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 1073748463

Noel I. Vandyke's National Provider Identifier is 1073748463, issued on May 28, 2009. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Queen Creek, AZ. The record was last updated on May 28, 2009.