person
Ms. Linda Beth Gomez
Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona
NPI 1053517672

Linda Beth Gomez is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Phoenix, AZ. Linda Beth Gomez practices in Phoenix, AZ. The NPI Number for Linda Beth Gomez is 1053517672 and holds a License No. (Arizona).

The current practice location address for Linda Beth Gomez is 15415 N 45Th St, Phoenix, AZ and can be reached out via phone at 602-299-5965. You can also correspond with Linda Beth Gomez through the mailing address at 15415 N 45TH ST, PHOENIX, AZ - 85032-4242 (mailing address contact number: 602-299-5965).

Location: 15415 N 45Th St, Phoenix, AZ, 85032-4242
person
Provider Profile Details
NPI Number
1053517672
Provider Name
Linda Beth Gomez
Credential
Provider Entity Type
Individual
Gender
Female
Address
15415 N 45Th St, Phoenix, AZ, 85032-4242
Phone Number
602-299-5965
Fax Number
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
158115 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
15415 N 45Th St
City
State
Zip
85032-4242
Phone Number
602-299-5965
Fax Number
person
Provider Business Mailing Address Details
Address
15415 N 45Th St
City
State
Zip
85032-4242
Phone Number
602-299-5965
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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