Individual provider · Type 1 NPI

Tracey A. Davis

Child Mental Illness Respite Care · Tolleson, AZ

NPI number 1124268826 Active

Practice location

8932 W Hammond Ln
Tolleson, AZ 85353-6956

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X525702 (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 1124268826

Tracey A. Davis's National Provider Identifier is 1124268826, issued on Feb 20, 2009. 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 Feb 20, 2009.