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

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X11264 (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.