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Ms. Catherine Miranda
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1003982356

Catherine Miranda is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Catherine Miranda practices in Phoenix, AZ. The NPI Number for Catherine Miranda is 1003982356 and holds a License No. 3873 (Arizona).

The current practice location address for Catherine Miranda is 7928 W Hilton Ave, Phoenix, AZ and can be reached out via phone at 623-936-5250. You can also correspond with Catherine Miranda through the mailing address at 3108 W. ROSE LANE, PHOENIX, AZ - 85017 (mailing address contact number: 623-313-0003).

Location: 7928 W Hilton Ave, Phoenix, AZ, 85017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003982356
Provider Name
Catherine Miranda
Credential
Provider Entity Type
Individual
Gender
Female
Address
7928 W Hilton Ave, Phoenix, AZ, 85017
Phone Number
623-936-5250
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
923997 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
7928 W Hilton Ave
City
Phoenix
State
Arizona
Zip
85043-7418
Phone Number
623-936-5250
Fax Number
person
Provider Business Mailing Address Details
Address
3108 W. Rose Lane
City
Phoenix
State
Arizona
Zip
85017
Phone Number
623-313-0003
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
3873 (Arizona)
Definition
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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