person
Licenia Rodriguez
Child Mental Illness Respite Care in Tucson, Arizona
NPI 1043889363

Licenia Rodriguez is a Child Mental Illness Respite Care based in Tucson, AZ and is specialized in Respite Care, Mental Illness, Child. Licenia Rodriguez practices in Tucson, AZ. The NPI Number for Licenia Rodriguez is 1043889363 and holds a License No. BH6821 (Arizona).

The current practice location address for Licenia Rodriguez is 3645 S Montreal Pl, Tucson, AZ and can be reached out via phone at 520-305-7861.

Location: 3645 S Montreal Pl, Tucson, AZ, 85730-3223
person
Provider Profile Details
NPI Number
1043889363
Provider Name
Licenia Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
3645 S Montreal Pl, Tucson, AZ, 85730-3223
Phone Number
520-305-7861
Fax Number
Provider Enumeration Date
06/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH6821 01 AZ AZ DEPT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
3645 S Montreal Pl
City
State
Zip
85730-3223
Phone Number
520-305-7861
Fax Number
person
Provider Business Mailing Address Details
Address
3645 S Montreal Pl
City
State
Zip
85730-3223
Phone Number
520-305-7861
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
BH6821 (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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