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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.

Location: 15415 N 45Th St, Phoenix, AZ, 85032-4242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Phoenix
State
Arizona
Zip
85032-4242
Phone Number
602-299-5965
Fax Number
person
Provider Business Mailing Address Details
Address
15415 N 45Th St
City
Phoenix
State
Arizona
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
322D00000X
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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