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Miss Gwen Ellen Maddix
Child Mental Illness Respite Care in Phx, Arizona
NPI 1073680195

Gwen Ellen Maddix is a Child Mental Illness Respite Care based in Phx, AZ and is specialized in Respite Care, Mental Illness, Child. Gwen Ellen Maddix practices in Phx, AZ. The NPI Number for Gwen Ellen Maddix is 1073680195 and holds a License No. (Arizona).

The current practice location address for Gwen Ellen Maddix is 3436 W Malapai, Phx, AZ and can be reached out via phone at 602-570-5742.

Location: 3436 W Malapai, Phx, AZ, 85051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073680195
Provider Name
Gwen Ellen Maddix
Credential
Provider Entity Type
Individual
Gender
Female
Address
3436 W Malapai, Phx, AZ, 85051
Phone Number
602-570-5742
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3436 W Malapai
City
Phx
State
Arizona
Zip
85051
Phone Number
602-570-5742
Fax Number
person
Provider Business Mailing Address Details
Address
3436 W Malapai
City
Phx
State
Arizona
Zip
85051
Phone Number
602-570-5742
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.
()
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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