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Douglas Dan Bauldry
Child Mental Illness Respite Care in Casa Grande, Arizona
NPI 1083770887

Douglas Dan Bauldry is a Child Mental Illness Respite Care based in Casa Grande, AZ and is specialized in Respite Care, Mental Illness, Child. Douglas Dan Bauldry practices in Casa Grande, AZ. The NPI Number for Douglas Dan Bauldry is 1083770887 and holds a License No. 10761 (Arizona).

The current practice location address for Douglas Dan Bauldry is 1327 E 10Th Pl, Casa Grande, AZ and can be reached out via phone at 520-876-5700.

Location: 1327 E 10Th Pl, Casa Grande, AZ, 85222-3677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083770887
Provider Name
Douglas Dan Bauldry
Credential
Provider Entity Type
Individual
Gender
Male
Address
1327 E 10Th Pl, Casa Grande, AZ, 85222-3677
Phone Number
520-876-5700
Fax Number
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1327 E 10Th Pl
City
Casa Grande
State
Arizona
Zip
85222-3677
Phone Number
520-876-5700
Fax Number
person
Provider Business Mailing Address Details
Address
1327 E 10Th Pl
City
Casa Grande
State
Arizona
Zip
85222-3677
Phone Number
520-876-5700
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.
10761 (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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