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Ms. Lorettta Cantley
Child Mental Illness Respite Care in Avondale, Arizona
NPI 1174698625

Lorettta Cantley is a Child Mental Illness Respite Care based in Avondale, AZ and is specialized in Respite Care, Mental Illness, Child. Lorettta Cantley practices in Avondale, AZ. The NPI Number for Lorettta Cantley is 1174698625 and holds a License No. 9845 (Arizona).

The current practice location address for Lorettta Cantley is 2501 N 114Th Ave, Avondale, AZ and can be reached out via phone at 623-478-7420.

Location: 2501 N 114Th Ave, Avondale, AZ, 85323-5034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174698625
Provider Name
Lorettta Cantley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2501 N 114Th Ave, Avondale, AZ, 85323-5034
Phone Number
623-478-7420
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
944927 01 AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
2501 N 114Th Ave
City
Avondale
State
Arizona
Zip
85323-5034
Phone Number
623-478-7420
Fax Number
person
Provider Business Mailing Address Details
Address
2501 N 114Th Ave
City
Avondale
State
Arizona
Zip
85323-5034
Phone Number
623-478-7420
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.
9845 (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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