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Renee Marie Carbajal
Child Mental Illness Respite Care in Tucson, Arizona
NPI 1396030904

Renee Marie Carbajal is a Child Mental Illness Respite Care based in Tucson, AZ and is specialized in Respite Care, Mental Illness, Child. Renee Marie Carbajal practices in Tucson, AZ. The NPI Number for Renee Marie Carbajal is 1396030904 and holds a License No. 2993258 (Arizona).

The current practice location address for Renee Marie Carbajal is 1320 W Kimberly St, Tucson, AZ and can be reached out via phone at 520-289-9166 and via fax at 520-296-8244.

Location: 1320 W Kimberly St, Tucson, AZ, 85704-2303
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Provider Profile Details
NPI Number
1396030904
Provider Name
Renee Marie Carbajal
Credential
Provider Entity Type
Individual
Gender
Female
Address
1320 W Kimberly St, Tucson, AZ, 85704-2303
Phone Number
520-289-9166
Fax Number
520-296-8244
Provider Enumeration Date
06/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2993258 01 AZ OLCR FOSTER CARE LICENSE
institution
Provider Business Practice Location Address Details
Address
1320 W Kimberly St
City
State
Zip
85704-2303
Phone Number
520-289-9166
Fax Number
520-296-8244
person
Provider Business Mailing Address Details
Address
1320 W Kimberly St
City
State
Zip
85704-2303
Phone Number
520-289-9166
Fax Number
520-296-8244
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
2993258 (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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