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Mrs. Theresa Chavez
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1225106982

Theresa Chavez is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Theresa Chavez practices in Phoenix, AZ. The NPI Number for Theresa Chavez is 1225106982 and holds a License No. 3971 (Arizona).

The current practice location address for Theresa Chavez is 7218 W Raymond St, Phoenix, AZ and can be reached out via phone at 623-478-0572. You can also correspond with Theresa Chavez through the mailing address at 7218 W RAYMOND ST, PHOENIX, AZ - 85043-7626 (mailing address contact number: 623-478-0572).

Location: 7218 W Raymond St, Phoenix, AZ, 85043-7626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225106982
Provider Name
Theresa Chavez
Credential
Provider Entity Type
Individual
Gender
Female
Address
7218 W Raymond St, Phoenix, AZ, 85043-7626
Phone Number
623-478-0572
Fax Number
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
992778 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
7218 W Raymond St
City
Phoenix
State
Arizona
Zip
85043-7626
Phone Number
623-478-0572
Fax Number
person
Provider Business Mailing Address Details
Address
7218 W Raymond St
City
Phoenix
State
Arizona
Zip
85043-7626
Phone Number
623-478-0572
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.
3971 (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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