Mr. Robert Lutton - Mesa, AZ

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.

Location: 2908 E Enid Ave, Mesa, AZ, 85204-4726

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

Identifier	Type	State	Issuer
789662	01	AZ	AHCCCS ID NUMBER

Address

2908 E Enid Ave

City

Mesa

State

Arizona

Zip

85204-4726

Phone Number

480-641-5666

Fax Number

Address

2908 E Enid Ave

City

Mesa

State

Arizona

Zip

85204-4726

Phone Number

480-641-5666

Fax Number

Type

Respite Care Facility

Classification

Respite Care

Speciality

Respite Care, Mental Illness, Child

Taxonomy

385HR2055X

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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