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Ruth Imelda Castillo
Child Mental Illness Respite Care in Sierra Vista, Arizona
NPI 1417101536

Ruth Imelda Castillo is a Child Mental Illness Respite Care based in Sierra Vista, AZ and is specialized in Respite Care, Mental Illness, Child. Ruth Imelda Castillo practices in Sierra Vista, AZ. The NPI Number for Ruth Imelda Castillo is 1417101536 and holds a License No. (Arizona).

The current practice location address for Ruth Imelda Castillo is 1401 Andrea Dr, Sierra Vista, AZ and can be reached out via phone at 520-459-8965.

Location: 1401 Andrea Dr, Sierra Vista, AZ, 85635-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417101536
Provider Name
Ruth Imelda Castillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1401 Andrea Dr, Sierra Vista, AZ, 85635-2005
Phone Number
520-459-8965
Fax Number
Provider Enumeration Date
11/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000 05 AZ
institution
Provider Business Practice Location Address Details
Address
1401 Andrea Dr
City
Sierra Vista
State
Arizona
Zip
85635-2005
Phone Number
520-459-8965
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Andrea Dr
City
Sierra Vista
State
Arizona
Zip
85635-2005
Phone Number
520-459-8965
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.
(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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