Individual provider · Type 1 NPI
Beverly Lewis
Child Mental Illness Respite Care · San Tan Valley, AZ
NPI number
1932555463
Active
Practice location
27 W Red Mesa Trl
San Tan Valley, AZ 85143-6228
Fax (602) 896-2580
Mailing address
2320 W Peoria Ave, Suite B147
Phoenix, AZ 85029-4753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | BH4850 (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 San Tan Valley
About NPI 1932555463
Beverly Lewis's National Provider Identifier is 1932555463, issued on May 13, 2016. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in San Tan Valley, AZ. The record was last updated on May 13, 2016.