Organization · Type 2 NPI
Red Mountain Respite, LLC
Child Mental Illness Respite Care · Mesa, AZ
NPI number
1750485033
Active
Practice location
1329 S Roseann
Mesa, AZ 85209-3739
Fax (480) 981-0893
Mailing address
1223 S Clearview Ave Ste 109
Mesa, AZ 85209-3306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | CSA05ADHS0180 (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 1750485033
Red Mountain Respite, LLC's National Provider Identifier is 1750485033, issued on Sep 8, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Mesa, AZ. The record was last updated on Aug 22, 2020.