Individual provider · Type 1 NPI
Mechelle Lynette Shea
Child Mental Illness Respite Care · Douglas, AZ
NPI number
1124327747
Active
Practice location
2805 E 9th St
Douglas, AZ 85607-2715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 2397966 (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.
About NPI 1124327747
Mechelle Lynette Shea's National Provider Identifier is 1124327747, issued on Mar 22, 2011. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Douglas, AZ. The record was last updated on Mar 22, 2011.