Individual provider · Type 1 NPI

Polly Mucci

Child Mental Illness Respite Care · Maricopa, AZ

NPI number 1972834661 Active

Practice location

44174 W Canyon Creek Dr
Maricopa, AZ 85139-5411

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X2100892 (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 1972834661

Polly Mucci's National Provider Identifier is 1972834661, issued on Jan 20, 2010. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Maricopa, AZ. The record was last updated on Jan 20, 2010.