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Adena Marie Mcgordon
Child Mental Illness Respite Care in Tolleson, Arizona
NPI 1467768697

Adena Marie Mcgordon is a Child Mental Illness Respite Care based in Tolleson, AZ and is specialized in Respite Care, Mental Illness, Child. Adena Marie Mcgordon practices in Tolleson, AZ. The NPI Number for Adena Marie Mcgordon is 1467768697 and holds a License No. 2281572 (Arizona).

The current practice location address for Adena Marie Mcgordon is 9612 W Superior Ave, Tolleson, AZ and can be reached out via phone at 602-487-4593.

Location: 9612 W Superior Ave, Tolleson, AZ, 85353-8586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467768697
Provider Name
Adena Marie Mcgordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
9612 W Superior Ave, Tolleson, AZ, 85353-8586
Phone Number
602-487-4593
Fax Number
Provider Enumeration Date
08/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9612 W Superior Ave
City
Tolleson
State
Arizona
Zip
85353-8586
Phone Number
602-487-4593
Fax Number
person
Provider Business Mailing Address Details
Address
9612 W Superior Ave
City
Tolleson
State
Arizona
Zip
85353-8586
Phone Number
602-487-4593
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.
2281572 (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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