Individual provider · Type 1 NPI
Keita Willis
Child Mental Illness Respite Care · Peoria, AZ
NPI number
1497176937
Active
Practice location
8159 W Deanna Dr
Peoria, AZ 85382-3456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 5374347 (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 1497176937
Keita Willis's National Provider Identifier is 1497176937, issued on Dec 31, 2013. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Peoria, AZ. The record was last updated on Dec 31, 2013.