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

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X2576526 (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 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.