Individual provider · Type 1 NPI

Wendy Ledawn Bumgarner

Child Mental Illness Respite Care · Seligman, AZ

NPI number 1871721738 Active

Practice location

297 Fort Rock Road
Seligman, AZ 86337-0213

Mailing address

PO Box 213
Seligman, AZ 86337-0213

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X1446366 (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 1871721738

Wendy Ledawn Bumgarner's National Provider Identifier is 1871721738, issued on Jun 30, 2009. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Seligman, AZ. The record was last updated on Jun 30, 2009.