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Suzan Porter
Child Mental Illness Respite Care in Glendale, Arizona
NPI 1336203546

Suzan Porter is a Child Mental Illness Respite Care based in Glendale, AZ and is specialized in Respite Care, Mental Illness, Child. Suzan Porter practices in Glendale, AZ. The NPI Number for Suzan Porter is 1336203546 and holds a License No. 9550 (Arizona).

The current practice location address for Suzan Porter is 7427 W Robin Ln, Glendale, AZ and can be reached out via phone at 623-463-5882.

Location: 7427 W Robin Ln, Glendale, AZ, 85310-5679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336203546
Provider Name
Suzan Porter
Credential
Provider Entity Type
Individual
Gender
Female
Address
7427 W Robin Ln, Glendale, AZ, 85310-5679
Phone Number
623-463-5882
Fax Number
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7427 W Robin Ln
City
Glendale
State
Arizona
Zip
85310-5679
Phone Number
623-463-5882
Fax Number
person
Provider Business Mailing Address Details
Address
7427 W Robin Ln
City
Glendale
State
Arizona
Zip
85310-5679
Phone Number
623-463-5882
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.
9550 (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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