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Charles W Evans, FOSTERPARENT
Child Mental Illness Respite Care in Yuma, Arizona
NPI 1184781197

Charles W Evans is a Child Mental Illness Respite Care based in Yuma, AZ and is specialized in Respite Care, Mental Illness, Child. Charles W Evans practices in Yuma, AZ and has the professional credentials of FOSTERPARENT. The NPI Number for Charles W Evans is 1184781197 and holds a License No. 5726 (Arizona).

The current practice location address for Charles W Evans is 10786 E 39Th St, Yuma, AZ and can be reached out via phone at 928-539-5379.

Location: 10786 E 39Th St, Yuma, AZ, 85365-7047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184781197
Provider Name
Charles W Evans
Credential
FOSTERPARENT
Provider Entity Type
Individual
Gender
Male
Address
10786 E 39Th St, Yuma, AZ, 85365-7047
Phone Number
928-539-5379
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10786 E 39Th St
City
Yuma
State
Arizona
Zip
85365-7047
Phone Number
928-539-5379
Fax Number
person
Provider Business Mailing Address Details
Address
10786 E 39Th St
City
Yuma
State
Arizona
Zip
85365-7047
Phone Number
928-539-5379
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.
5726 ()
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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