Individual provider · Type 1 NPI

Alphonso Taylor

Child Mental Illness Respite Care · Laveen, AZ

NPI number 1487721049 Active

Practice location

8528 S 49th Ln
Laveen, AZ 85339-2161

Call (480) 593-2018 Map

Mailing address

7018 W Carson Rd
Laveen, AZ 85339-7030

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X10046 (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 1487721049

Alphonso Taylor's National Provider Identifier is 1487721049, issued on Nov 29, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Laveen, AZ. The record was last updated on Feb 20, 2008.