Individual provider · Type 1 NPI

Heather Larae Olmos

Child Mental Illness Respite Care · Sierra Vista, AZ

NPI number 1629220462 Active

Practice location

2733 Quail Run Dr
Sierra Vista, AZ 85635-3448

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X11412 (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 1629220462

Heather Larae Olmos's National Provider Identifier is 1629220462, issued on Oct 10, 2008. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Sierra Vista, AZ. The record was last updated on Oct 10, 2008.