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Mrs. Kathryn Sue Crain, MED
Child Mental Illness Respite Care in Yuma, Arizona
NPI 1386707305

Kathryn Sue Crain is a Child Mental Illness Respite Care based in Yuma, AZ and is specialized in Respite Care, Mental Illness, Child. Kathryn Sue Crain practices in Yuma, AZ and has the professional credentials of MED. The NPI Number for Kathryn Sue Crain is 1386707305 and holds a License No. 10454 (Arizona).

The current practice location address for Kathryn Sue Crain is 1885 S 5Th Ave, Yuma, AZ and can be reached out via phone at 928-782-6172. You can also correspond with Kathryn Sue Crain through the mailing address at 1885 S 5TH AVE, YUMA, AZ - 85364-5559 (mailing address contact number: 928-782-6172).

Location: 1885 S 5Th Ave, Yuma, AZ, 85364-5559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386707305
Provider Name
Kathryn Sue Crain
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
1885 S 5Th Ave, Yuma, AZ, 85364-5559
Phone Number
928-782-6172
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
968828 05 AZ
institution
Provider Business Practice Location Address Details
Address
1885 S 5Th Ave
City
Yuma
State
Arizona
Zip
85364-5559
Phone Number
928-782-6172
Fax Number
person
Provider Business Mailing Address Details
Address
1885 S 5Th Ave
City
Yuma
State
Arizona
Zip
85364-5559
Phone Number
928-782-6172
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.
10454 (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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