Individual provider · Type 1 NPI
Denicka Foster
Child Mental Illness Respite Care · South Bend, IN
NPI number
1689172462
Active
Practice location
53211 Kinglet Ln
South Bend, IN 46637-5112
Mailing address
PO Box 4022
South Bend, IN 46634-4022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | None listed |
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.
2 other providers at this address
About NPI 1689172462
Denicka Foster's National Provider Identifier is 1689172462, issued on Jan 26, 2018. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in South Bend, IN. The record was last updated on Jan 26, 2018.