Individual provider · Type 1 NPI
Adena Marie McGordon
Child Mental Illness Respite Care · Tolleson, AZ
NPI number
1467768697
Active
Practice location
9612 W Superior Ave
Tolleson, AZ 85353-8586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 2281572 (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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- Janine DeemsChild Mental Illness Respite Care Tolleson, AZ NPI 1639342637
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About NPI 1467768697
Adena Marie McGordon's National Provider Identifier is 1467768697, issued on Aug 25, 2010. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Tolleson, AZ. The record was last updated on Aug 25, 2010.