Individual provider · Type 1 NPI

Shanney Shonttile Porter

Child Mental Illness Respite Care · Phoenix, AZ

NPI number 1326232885 Active

Practice location

4011 W Surrey Ave
Phoenix, AZ 85029-1949

Call (602) 298-6987 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X209618 (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 1326232885

Shanney Shonttile Porter's National Provider Identifier is 1326232885, issued on Aug 28, 2007. 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 Aug 28, 2007.