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Ms. Ava Alexander Anderson
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1265508535

Ava Alexander Anderson is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Ava Alexander Anderson practices in Phoenix, AZ. The NPI Number for Ava Alexander Anderson is 1265508535 and holds a License No. 3796 (Arizona).

The current practice location address for Ava Alexander Anderson is 6915 S 37Th Glen, Phoenix, AZ and can be reached out via phone at 602-276-1112.

Location: 6915 S 37Th Glen, Phoenix, AZ, 85041-6175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265508535
Provider Name
Ava Alexander Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6915 S 37Th Glen, Phoenix, AZ, 85041-6175
Phone Number
602-276-1112
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
869604 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
6915 S 37Th Glen
City
Phoenix
State
Arizona
Zip
85041-6175
Phone Number
602-276-1112
Fax Number
person
Provider Business Mailing Address Details
Address
6915 S 37Th Glen
City
Phoenix
State
Arizona
Zip
85041-6175
Phone Number
602-276-1112
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.
3796 (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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