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Johnny Vega Merchant
Child Mental Illness Respite Care in Sahuarita, Arizona
NPI 1154508554

Johnny Vega Merchant is a Child Mental Illness Respite Care based in Sahuarita, AZ and is specialized in Respite Care, Mental Illness, Child. Johnny Vega Merchant practices in Sahuarita, AZ. The NPI Number for Johnny Vega Merchant is 1154508554 and holds a License No. 12286 (Arizona).

The current practice location address for Johnny Vega Merchant is 16330 S Delgado Rd, Sahuarita, AZ and can be reached out via phone at 520-625-7616.

Location: 16330 S Delgado Rd, Sahuarita, AZ, 85629-8378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154508554
Provider Name
Johnny Vega Merchant
Credential
Provider Entity Type
Individual
Gender
Male
Address
16330 S Delgado Rd, Sahuarita, AZ, 85629-8378
Phone Number
520-625-7616
Fax Number
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16330 S Delgado Rd
City
Sahuarita
State
Arizona
Zip
85629-8378
Phone Number
520-625-7616
Fax Number
person
Provider Business Mailing Address Details
Address
16330 S Delgado Rd
City
Sahuarita
State
Arizona
Zip
85629-8378
Phone Number
520-625-7616
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.
12286 (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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