Individual provider · Type 1 NPI

Missouri Ford

Child Mental Illness Respite Care · Phoenix, AZ

NPI number 1720378532 Active

Practice location

1735 W Missouri Ave, #408
Phoenix, AZ 85015-2605

Call (602) 643-6577 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X2477902 (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 1720378532

Missouri Ford's National Provider Identifier is 1720378532, issued on Apr 13, 2011. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 13, 2011.