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Pamela Lopes
Child Mental Illness Respite Care in Avondale, Arizona
NPI 1396812764

Pamela Lopes is a Child Mental Illness Respite Care based in Avondale, AZ and is specialized in Respite Care, Mental Illness, Child. Pamela Lopes practices in Avondale, AZ. The NPI Number for Pamela Lopes is 1396812764 and holds a License No. 9401 (Arizona).

The current practice location address for Pamela Lopes is 10809 W Rio Vista Ln, Avondale, AZ and can be reached out via phone at 623-936-4390.

Location: 10809 W Rio Vista Ln, Avondale, AZ, 85323-1161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396812764
Provider Name
Pamela Lopes
Credential
Provider Entity Type
Individual
Gender
Female
Address
10809 W Rio Vista Ln, Avondale, AZ, 85323-1161
Phone Number
623-936-4390
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
912156 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
10809 W Rio Vista Ln
City
Avondale
State
Arizona
Zip
85323-1161
Phone Number
623-936-4390
Fax Number
person
Provider Business Mailing Address Details
Address
10809 W Rio Vista Ln
City
Avondale
State
Arizona
Zip
85323-1161
Phone Number
623-936-4390
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.
9401 (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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