Individual provider · Type 1 NPI

Shelly Smith

Child Mental Illness Respite Care · Prescott Valley, AZ

NPI number 1609245752 Active

Practice location

6060 N Wildhorse Dr
Prescott Valley, AZ 86314-3346

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055XBH4554 (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 1609245752

Shelly Smith's National Provider Identifier is 1609245752, issued on Sep 18, 2015. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Prescott Valley, AZ. The record was last updated on Sep 18, 2015.