Individual provider · Type 1 NPI

Martin Gonzales

Child Mental Illness Respite Care · Phoenix, AZ

NPI number 1477627495 Active

Practice location

3924 W Maricopa St
Phoenix, AZ 85009-5410

Call (602) 353-9352 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X8896 (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 1477627495

Martin Gonzales's National Provider Identifier is 1477627495, 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.