Individual provider · Type 1 NPI
Phyllis Roberts
Child Mental Illness Respite Care · Phoenix, AZ
NPI number
1841356474
Active
Practice location
1330 E Saint Anne Ave
Phoenix, AZ 85042-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 5216 (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 1841356474
Phyllis Roberts's National Provider Identifier is 1841356474, issued on Dec 28, 2006. 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 Jul 8, 2007.