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

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X5374347 (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.