Organization · Type 2 NPI
Clarence & Jeanne Kinsley, dba
Child Mental Illness Respite Care · Dewey, AZ
NPI number
1255703229
Active
Practice location
17100 E. Lions Crossing Rd
Dewey, AZ 86327
Mailing address
PO Box 102
Dewey, AZ 86327-0102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | BH4541 (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 1255703229
Clarence & Jeanne Kinsley, dba's National Provider Identifier is 1255703229, issued on Oct 29, 2015. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Dewey, AZ. The record was last updated on Oct 29, 2015.