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Tonya Randolph Smith
Child Mental Illness Respite Care in Avondale, Arizona
NPI 1538590005

Tonya Randolph Smith is a Child Mental Illness Respite Care based in Avondale, AZ and is specialized in Respite Care, Mental Illness, Child. Tonya Randolph Smith practices in Avondale, AZ. The NPI Number for Tonya Randolph Smith is 1538590005 and holds a License No. 3467447 (Arizona).

The current practice location address for Tonya Randolph Smith is 12227 W Hadley St, Avondale, AZ and can be reached out via phone at 414-617-8549.

Location: 12227 W Hadley St, Avondale, AZ, 85323-8434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538590005
Provider Name
Tonya Randolph Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
12227 W Hadley St, Avondale, AZ, 85323-8434
Phone Number
414-617-8549
Fax Number
Provider Enumeration Date
12/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12227 W Hadley St
City
Avondale
State
Arizona
Zip
85323-8434
Phone Number
414-617-8549
Fax Number
person
Provider Business Mailing Address Details
Address
12227 W Hadley St
City
Avondale
State
Arizona
Zip
85323-8434
Phone Number
414-617-8549
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.
3467447 (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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