Individual provider · Type 1 NPI
Edgar Moya
Child Mental Illness Respite Care · Kearney, NE
NPI number
1639976186
Active
Practice location
1609 P Ave
Kearney, NE 68847-4003
Mailing address
1319 E 45th St Apt K5
Kearney, NE 68847-4161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 73608402 (NE) |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 73608402 (NE) |
| Child Physical Disabilities Respite Care | 385HR2065X | 73608402 (NE) |
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 1639976186
Edgar Moya's National Provider Identifier is 1639976186, issued on Mar 3, 2025. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Kearney, NE. The record was last updated on Mar 3, 2025.