Individual provider · Type 1 NPI

Kathy Eldridge

Child Mental Illness Respite Care · Glendale, AZ

NPI number 1275698193 Active

Practice location

8351 W San Miguel Ave
Glendale, AZ 85305-2910

Call (623) 772-0652 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X9246 (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 1275698193

Kathy Eldridge's National Provider Identifier is 1275698193, issued on Dec 22, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Glendale, AZ. The record was last updated on Jul 8, 2007.