Individual provider · Type 1 NPI

Miranda McCoy

Child Mental Illness Respite Care · Phoenix, AZ

NPI number 1487722369 Active

Practice location

5205 W Fulton St
Phoenix, AZ 85043-2000

Call (623) 204-8901 Map

Mailing address

5205 W. Fulton
Phoenix, AZ 85043

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X11361 (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 1487722369

Miranda McCoy's National Provider Identifier is 1487722369, issued on Dec 1, 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 Dec 14, 2007.