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Greg Strong
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1386711760

Greg Strong is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Greg Strong practices in Phoenix, AZ. The NPI Number for Greg Strong is 1386711760 and holds a License No. 10728 (Arizona).

The current practice location address for Greg Strong is 1615 W La Salle St, Phoenix, AZ and can be reached out via phone at 602-330-2073.

Location: 1615 W La Salle St, Phoenix, AZ, 85041-3828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386711760
Provider Name
Greg Strong
Credential
Provider Entity Type
Individual
Gender
Male
Address
1615 W La Salle St, Phoenix, AZ, 85041-3828
Phone Number
602-330-2073
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
096784 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
1615 W La Salle St
City
Phoenix
State
Arizona
Zip
85041-3828
Phone Number
602-330-2073
Fax Number
person
Provider Business Mailing Address Details
Address
1615 W La Salle St
City
Phoenix
State
Arizona
Zip
85041-3828
Phone Number
602-330-2073
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.
10728 (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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