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Linda Graham
Child Mental Illness Respite Care in Avondale, Arizona
NPI 1639247463

Linda Graham is a Child Mental Illness Respite Care based in Avondale, AZ and is specialized in Respite Care, Mental Illness, Child. Linda Graham practices in Avondale, AZ. The NPI Number for Linda Graham is 1639247463 and holds a License No. 10017 (Arizona).

The current practice location address for Linda Graham is 2415 N 124Th Cir, Avondale, AZ and can be reached out via phone at 602-841-3438.

Location: 2415 N 124Th Cir, Avondale, AZ, 85323-6509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639247463
Provider Name
Linda Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
2415 N 124Th Cir, Avondale, AZ, 85323-6509
Phone Number
602-841-3438
Fax Number
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112550 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
2415 N 124Th Cir
City
Avondale
State
Arizona
Zip
85323-6509
Phone Number
602-841-3438
Fax Number
person
Provider Business Mailing Address Details
Address
2415 N 124Th Cir
City
Avondale
State
Arizona
Zip
85323-6509
Phone Number
602-841-3438
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.
10017 (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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