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Mr. Corey Du Juan Starks
Child Mental Illness Respite Care in Tucson, Arizona
NPI 1225275191

Corey Du Juan Starks is a Child Mental Illness Respite Care based in Tucson, AZ and is specialized in Respite Care, Mental Illness, Child. Corey Du Juan Starks practices in Tucson, AZ. The NPI Number for Corey Du Juan Starks is 1225275191 and holds a License No. 1049220 (Arizona).

The current practice location address for Corey Du Juan Starks is 4880 N Sabino Canyon Rd Apt 4219, Tucson, AZ and can be reached out via phone at 816-956-1487.

Location: 4880 N Sabino Canyon Rd Apt 4219, Tucson, AZ, 85750-7008
person
Provider Profile Details
NPI Number
1225275191
Provider Name
Corey Du Juan Starks
Credential
Provider Entity Type
Individual
Gender
Male
Address
4880 N Sabino Canyon Rd Apt 4219, Tucson, AZ, 85750-7008
Phone Number
816-956-1487
Fax Number
Provider Enumeration Date
01/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1049220 05 AZ
institution
Provider Business Practice Location Address Details
Address
4880 N Sabino Canyon Rd Apt 4219
City
State
Zip
85750-7008
Phone Number
816-956-1487
Fax Number
person
Provider Business Mailing Address Details
Address
4880 N Sabino Canyon Rd Apt 4219
City
State
Zip
85750-7008
Phone Number
816-956-1487
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
1049220 (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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