Individual provider · Type 1 NPI

Lorettta Cantley

Child Mental Illness Respite Care · Avondale, AZ

NPI number 1174698625 Active

Practice location

2501 N 114th Ave
Avondale, AZ 85323-5034

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X9845 (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 1174698625

Lorettta Cantley's National Provider Identifier is 1174698625, issued on Nov 21, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Avondale, AZ. The record was last updated on Jul 8, 2007.