Individual provider · Type 1 NPI

Consolee Nyiramana

Child Mental Illness Respite Care · Phoenix, AZ

NPI number 1124764907 Active

Practice location

11024 N 28th Dr Ste 110
Phoenix, AZ 85029-4378

Call (602) 944-6222 Map

Mailing address

4000 N Central Ave Ste 100
Phoenix, AZ 85012-3520

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X11283764 (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 1124764907

Consolee Nyiramana's National Provider Identifier is 1124764907, issued on May 5, 2022. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Phoenix, AZ. The record was last updated on May 5, 2022.