Individual provider · Type 1 NPI

Kenny Jacobs

Child Mental Illness Respite Care · Phoenix, AZ

NPI number 1447324397 Active

Practice location

8010 W Hilton Ave
Phoenix, AZ 85043-7420

Call (623) 322-5288 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X10730 (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 1447324397

Kenny Jacobs's National Provider Identifier is 1447324397, issued on Nov 20, 2006. 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 Jul 8, 2007.