Individual provider · Type 1 NPI
Glenda Sullivan
Child Mental Illness Respite Care · Goodyear, AZ
NPI number
1891005492
Active
Practice location
10710 S. Morningside Dr
Goodyear, AZ 85338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | 2576526 (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.
Other child mental illness respite care providers in Goodyear
- Clay SnellChild Mental Illness Respite Care Goodyear, AZ NPI 1033588181
- Randy BlandChild Mental Illness Respite Care Goodyear, AZ NPI 1700423902
- Tammi StarnesChild Mental Illness Respite Care Goodyear, AZ NPI 1710363627
- Lorenzo CastilloChild Mental Illness Respite Care Goodyear, AZ NPI 1932326162
- Laura TsagarisChild Mental Illness Respite Care Goodyear, AZ NPI 1932438611
About NPI 1891005492
Glenda Sullivan's National Provider Identifier is 1891005492, issued on Oct 15, 2010. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Goodyear, AZ. The record was last updated on Oct 15, 2010.