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Ms. Teresa Gonzalez, MA
Child Mental Illness Respite Care in Winslow, Arizona
NPI 1619099793

Teresa Gonzalez is a Child Mental Illness Respite Care based in Winslow, AZ and is specialized in Respite Care, Mental Illness, Child. Teresa Gonzalez practices in Winslow, AZ and has the professional credentials of MA. The NPI Number for Teresa Gonzalez is 1619099793 and holds a License No. 6867477 (Arizona).

The current practice location address for Teresa Gonzalez is 125 Papago Blvd, Winslow, AZ and can be reached out via phone at 928-386-0450.

Location: 125 Papago Blvd, Winslow, AZ, 86047-2021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619099793
Provider Name
Teresa Gonzalez
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
125 Papago Blvd, Winslow, AZ, 86047-2021
Phone Number
928-386-0450
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
125 Papago Blvd
City
Winslow
State
Arizona
Zip
86047-2021
Phone Number
928-386-0450
Fax Number
person
Provider Business Mailing Address Details
Address
125 Papago Blvd
City
Winslow
State
Arizona
Zip
86047-2021
Phone Number
928-386-0450
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.
6867477 (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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