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Mrs. Jodi Daradici
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1548336811

Jodi Daradici is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Jodi Daradici practices in Phoenix, AZ. The NPI Number for Jodi Daradici is 1548336811 and holds a License No. 5810 (Arizona).

The current practice location address for Jodi Daradici is 16610 N 19Th St, Phoenix, AZ and can be reached out via phone at 602-795-3971. You can also correspond with Jodi Daradici through the mailing address at 16610 N 19TH ST, PHOENIX, AZ - 85022-6259 (mailing address contact number: 602-795-3971).

Location: 16610 N 19Th St, Phoenix, AZ, 85022-6259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548336811
Provider Name
Jodi Daradici
Credential
Provider Entity Type
Individual
Gender
Female
Address
16610 N 19Th St, Phoenix, AZ, 85022-6259
Phone Number
602-795-3971
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
825713 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
16610 N 19Th St
City
Phoenix
State
Arizona
Zip
85022-6259
Phone Number
602-795-3971
Fax Number
person
Provider Business Mailing Address Details
Address
16610 N 19Th St
City
Phoenix
State
Arizona
Zip
85022-6259
Phone Number
602-795-3971
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.
5810 (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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