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Latonya Patterson
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1316014798

Latonya Patterson is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Latonya Patterson practices in Phoenix, AZ. The NPI Number for Latonya Patterson is 1316014798 and holds a License No. 10462 (Arizona).

The current practice location address for Latonya Patterson is 4334 N 63Rd Ave, Phoenix, AZ and can be reached out via phone at 623-846-0673. You can also correspond with Latonya Patterson through the mailing address at 4334 N 63RD AVE, PHOENIX, AZ - 85033-2701 (mailing address contact number: 623-846-0673).

Location: 4334 N 63Rd Ave, Phoenix, AZ, 85033-2701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316014798
Provider Name
Latonya Patterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4334 N 63Rd Ave, Phoenix, AZ, 85033-2701
Phone Number
623-846-0673
Fax Number
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
985351 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
4334 N 63Rd Ave
City
Phoenix
State
Arizona
Zip
85033-2701
Phone Number
623-846-0673
Fax Number
person
Provider Business Mailing Address Details
Address
4334 N 63Rd Ave
City
Phoenix
State
Arizona
Zip
85033-2701
Phone Number
623-846-0673
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.
10462 (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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