location
search-icon
person
Ms. Coretta Muhammad
Child Mental Illness Respite Care in Tolleson, Arizona
NPI 1073688552

Coretta Muhammad is a Child Mental Illness Respite Care based in Tolleson, AZ and is specialized in Respite Care, Mental Illness, Child. Coretta Muhammad practices in Tolleson, AZ. The NPI Number for Coretta Muhammad is 1073688552 and holds a License No. 1419 (Arizona).

The current practice location address for Coretta Muhammad is 9371 W Williams St, Tolleson, AZ and can be reached out via phone at 623-848-6252.

Location: 9371 W Williams St, Tolleson, AZ, 85353-8342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073688552
Provider Name
Coretta Muhammad
Credential
Provider Entity Type
Individual
Gender
Female
Address
9371 W Williams St, Tolleson, AZ, 85353-8342
Phone Number
623-848-6252
Fax Number
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
816332 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
9371 W Williams St
City
Tolleson
State
Arizona
Zip
85353-8342
Phone Number
623-848-6252
Fax Number
person
Provider Business Mailing Address Details
Address
9371 W Williams St
City
Tolleson
State
Arizona
Zip
85353-8342
Phone Number
623-848-6252
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.
1419 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.