Individual provider · Type 1 NPI

Gwendolyn Baker

Child Mental Illness Respite Care · Surprise, AZ

NPI number 1679647614 Active

Practice location

16640 W Rim Rock St
Surprise, AZ 85388-1193

Call (623) 594-9924 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X1825 (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 1679647614

Gwendolyn Baker's National Provider Identifier is 1679647614, issued on Nov 20, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Surprise, AZ. The record was last updated on Jul 8, 2007.