Individual provider · Type 1 NPI

Harold Kilgore

Child Mental Illness Respite Care · Queen Creek, AZ

NPI number 1972163293 Active

Practice location

3734 E Longhorn St
Queen Creek, AZ 85140-4303

Call (602) 321-4154 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X7470789 (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 1972163293

Harold Kilgore's National Provider Identifier is 1972163293, issued on Jun 18, 2019. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Queen Creek, AZ. The record was last updated on Jun 18, 2019.