Individual provider · Type 1 NPI
Fredrick David Beaver
Child Mental Illness Respite Care · Cochise, AZ
NPI number
1922282904
Active
Practice location
2750 N. Nino Place
Cochise, AZ 85606
Mailing address
PO Box 272
Dragoon, AZ 85609-0272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | None listed |
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.
About NPI 1922282904
Fredrick David Beaver's National Provider Identifier is 1922282904, issued on Dec 26, 2007. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Cochise, AZ. The record was last updated on Jan 14, 2008.