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Krisona Heusted
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1235478892

Krisona Heusted is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Krisona Heusted practices in Phoenix, AZ. The NPI Number for Krisona Heusted is 1235478892 and holds a License No. 4504103 (Arizona).

The current practice location address for Krisona Heusted is 3901 E Emile Zola Ave, Phoenix, AZ and can be reached out via phone at 623-314-4500.

Location: 3901 E Emile Zola Ave, Phoenix, AZ, 85032-6225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235478892
Provider Name
Krisona Heusted
Credential
Provider Entity Type
Individual
Gender
Female
Address
3901 E Emile Zola Ave, Phoenix, AZ, 85032-6225
Phone Number
623-314-4500
Fax Number
Provider Enumeration Date
02/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3901 E Emile Zola Ave
City
Phoenix
State
Arizona
Zip
85032-6225
Phone Number
623-314-4500
Fax Number
person
Provider Business Mailing Address Details
Address
3901 E Emile Zola Ave
City
Phoenix
State
Arizona
Zip
85032-6225
Phone Number
623-314-4500
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.
4504103 (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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