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Mr. David Sacco
Child Mental Illness Respite Care in Peoria, Arizona
NPI 1518033851

David Sacco is a Child Mental Illness Respite Care based in Peoria, AZ and is specialized in Respite Care, Mental Illness, Child. David Sacco practices in Peoria, AZ. The NPI Number for David Sacco is 1518033851 and holds a License No. 4009 (Arizona).

The current practice location address for David Sacco is 7616 W Comet Ave, Peoria, AZ and can be reached out via phone at 623-210-3051.

Location: 7616 W Comet Ave, Peoria, AZ, 85345-0730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518033851
Provider Name
David Sacco
Credential
Provider Entity Type
Individual
Gender
Male
Address
7616 W Comet Ave, Peoria, AZ, 85345-0730
Phone Number
623-210-3051
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
745044 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
7616 W Comet Ave
City
Peoria
State
Arizona
Zip
85345-0730
Phone Number
623-210-3051
Fax Number
person
Provider Business Mailing Address Details
Address
7616 W Comet Ave
City
Peoria
State
Arizona
Zip
85345-0730
Phone Number
623-210-3051
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.
4009 (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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