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Ted Ryersbach
Child Mental Illness Respite Care in New River, Arizona
NPI 1558494641

Ted Ryersbach is a Child Mental Illness Respite Care based in New River, AZ and is specialized in Respite Care, Mental Illness, Child. Ted Ryersbach practices in New River, AZ. The NPI Number for Ted Ryersbach is 1558494641 and holds a License No. 638 (Arizona).

The current practice location address for Ted Ryersbach is 42613 N 46Th Dr, New River, AZ and can be reached out via phone at 623-518-6886.

Location: 42613 N 46Th Dr, New River, AZ, 85087-5975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558494641
Provider Name
Ted Ryersbach
Credential
Provider Entity Type
Individual
Gender
Male
Address
42613 N 46Th Dr, New River, AZ, 85087-5975
Phone Number
623-518-6886
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ACCCHS 01 AZ 962523
institution
Provider Business Practice Location Address Details
Address
42613 N 46Th Dr
City
New River
State
Arizona
Zip
85087-5975
Phone Number
623-518-6886
Fax Number
person
Provider Business Mailing Address Details
Address
42613 N 46Th Dr
City
New River
State
Arizona
Zip
85087-5975
Phone Number
623-518-6886
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.
638 (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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