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Mr. Robert Lutton
Child Mental Illness Respite Care in Mesa, Arizona
NPI 1124193693

Robert Lutton is a Child Mental Illness Respite Care based in Mesa, AZ and is specialized in Respite Care, Mental Illness, Child. Robert Lutton practices in Mesa, AZ. The NPI Number for Robert Lutton is 1124193693 and holds a License No. 5822 (Arizona).

The current practice location address for Robert Lutton is 2908 E Enid Ave, Mesa, AZ and can be reached out via phone at 480-641-5666. You can also correspond with Robert Lutton through the mailing address at 2908 E ENID AVE, MESA, AZ - 85204-4726 (mailing address contact number: 480-641-5666).

Location: 2908 E Enid Ave, Mesa, AZ, 85204-4726
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Provider Profile Details
NPI Number
1124193693
Provider Name
Robert Lutton
Credential
Provider Entity Type
Individual
Gender
Male
Address
2908 E Enid Ave, Mesa, AZ, 85204-4726
Phone Number
480-641-5666
Fax Number
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
789662 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
2908 E Enid Ave
City
State
Zip
85204-4726
Phone Number
480-641-5666
Fax Number
person
Provider Business Mailing Address Details
Address
2908 E Enid Ave
City
State
Zip
85204-4726
Phone Number
480-641-5666
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
5822 (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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