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Richard Todd Stoneking
Child Mental Illness Respite Care in Surprise, Arizona
NPI 1619204039

Richard Todd Stoneking is a Child Mental Illness Respite Care based in Surprise, AZ and is specialized in Respite Care, Mental Illness, Child. Richard Todd Stoneking practices in Surprise, AZ. The NPI Number for Richard Todd Stoneking is 1619204039 and holds a License No. 1963339 (Arizona).

The current practice location address for Richard Todd Stoneking is 17386 W Buckhorn Trl, Surprise, AZ and can be reached out via phone at 623-546-3202.

Location: 17386 W Buckhorn Trl, Surprise, AZ, 85387-1019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619204039
Provider Name
Richard Todd Stoneking
Credential
Provider Entity Type
Individual
Gender
Male
Address
17386 W Buckhorn Trl, Surprise, AZ, 85387-1019
Phone Number
623-546-3202
Fax Number
Provider Enumeration Date
11/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17386 W Buckhorn Trl
City
Surprise
State
Arizona
Zip
85387-1019
Phone Number
623-546-3202
Fax Number
person
Provider Business Mailing Address Details
Address
17386 W Buckhorn Trl
City
Surprise
State
Arizona
Zip
85387-1019
Phone Number
623-546-3202
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.
1963339 (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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