Individual provider · Type 1 NPI
Dale Philip Ferguson
Child Mental Illness Respite Care · Peoria, AZ
NPI number
1790844322
Active
Practice location
8770 W Paradise Dr
Peoria, AZ 85345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 11264 (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 1790844322
Dale Philip Ferguson's National Provider Identifier is 1790844322, issued on Dec 8, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Peoria, AZ. The record was last updated on Jul 8, 2007.