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Charles Mccray
Child Mental Illness Respite Care in Glendale, Arizona
NPI 1134296601

Charles Mccray is a Child Mental Illness Respite Care based in Glendale, AZ and is specialized in Respite Care, Mental Illness, Child. Charles Mccray practices in Glendale, AZ. The NPI Number for Charles Mccray is 1134296601 and holds a License No. 9094 (Arizona).

The current practice location address for Charles Mccray is 8225 W Tuckey Ln, Glendale, AZ and can be reached out via phone at 623-463-1936. You can also correspond with Charles Mccray through the mailing address at 8225 W TUCKEY LN, GLENDALE, AZ - 85303-3210 (mailing address contact number: 623-463-1936).

Location: 8225 W Tuckey Ln, Glendale, AZ, 85303-3210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134296601
Provider Name
Charles Mccray
Credential
Provider Entity Type
Individual
Gender
Male
Address
8225 W Tuckey Ln, Glendale, AZ, 85303-3210
Phone Number
623-463-1936
Fax Number
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
905903 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
8225 W Tuckey Ln
City
Glendale
State
Arizona
Zip
85303-3210
Phone Number
623-463-1936
Fax Number
person
Provider Business Mailing Address Details
Address
8225 W Tuckey Ln
City
Glendale
State
Arizona
Zip
85303-3210
Phone Number
623-463-1936
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.
9094 (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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