Individual provider · Type 1 NPI
Benjamin Nelson, M.A., BHT
Child Mental Illness Respite Care · Phoenix, AZ
NPI number
1134484876
Active
Practice location
4372 E Sack Dr
Phoenix, AZ 85050-3395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 3856919 (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 1134484876
Benjamin Nelson, M.A., BHT's National Provider Identifier is 1134484876, issued on Jul 9, 2012. 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 Jul 9, 2012.