Individual provider · Type 1 NPI
Ted Ryersbach
Child Mental Illness Respite Care · New River, AZ
NPI number
1558494641
Active
Practice location
42613 N 46th Dr
New River, AZ 85087-5975
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 638 (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.
About NPI 1558494641
Ted Ryersbach's National Provider Identifier is 1558494641, issued on Mar 14, 2007. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in New River, AZ. The record was last updated on Jul 8, 2007.