Individual provider · Type 1 NPI

Sharnnet Ezell

Child Mental Illness Respite Care · Laveen, AZ

NPI number 1194155770 Active

Practice location

6827 W Nancy Ln
Laveen, AZ 85339-2658

Call (620) 518-2294 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X5408780 (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 1194155770

Sharnnet Ezell's National Provider Identifier is 1194155770, issued on Nov 19, 2013. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Laveen, AZ. The record was last updated on Nov 19, 2013.