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Mr. Maurice Nicholas Willis
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1043367352

Maurice Nicholas Willis is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Maurice Nicholas Willis practices in Phoenix, AZ. The NPI Number for Maurice Nicholas Willis is 1043367352 and holds a License No. 10990 (Arizona).

The current practice location address for Maurice Nicholas Willis is 1213 E Echo Ln, Phoenix, AZ and can be reached out via phone at 602-242-0842.

Location: 1213 E Echo Ln, Phoenix, AZ, 85020-3827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043367352
Provider Name
Maurice Nicholas Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1213 E Echo Ln, Phoenix, AZ, 85020-3827
Phone Number
602-242-0842
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1213 E Echo Ln
City
Phoenix
State
Arizona
Zip
85020-3827
Phone Number
602-242-0842
Fax Number
person
Provider Business Mailing Address Details
Address
1213 E Echo Ln
City
Phoenix
State
Arizona
Zip
85020-3827
Phone Number
602-242-0842
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.
10990 (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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