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Keita Willis
Child Mental Illness Respite Care in Peoria, Arizona
NPI 1497176937

Keita Willis is a Child Mental Illness Respite Care based in Peoria, AZ and is specialized in Respite Care, Mental Illness, Child. Keita Willis practices in Peoria, AZ. The NPI Number for Keita Willis is 1497176937 and holds a License No. 5374347 (Arizona).

The current practice location address for Keita Willis is 8159 W Deanna Dr, Peoria, AZ and can be reached out via phone at 480-236-2677.

Location: 8159 W Deanna Dr, Peoria, AZ, 85382-3456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497176937
Provider Name
Keita Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
8159 W Deanna Dr, Peoria, AZ, 85382-3456
Phone Number
480-236-2677
Fax Number
Provider Enumeration Date
12/31/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8159 W Deanna Dr
City
Peoria
State
Arizona
Zip
85382-3456
Phone Number
480-236-2677
Fax Number
person
Provider Business Mailing Address Details
Address
8159 W Deanna Dr
City
Peoria
State
Arizona
Zip
85382-3456
Phone Number
480-236-2677
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.
5374347 (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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