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Rudolfo Bruce Campos
Child Mental Illness Respite Care in Clifton, Arizona
NPI 1669540555

Rudolfo Bruce Campos is a Child Mental Illness Respite Care based in Clifton, AZ and is specialized in Respite Care, Mental Illness, Child. Rudolfo Bruce Campos practices in Clifton, AZ. The NPI Number for Rudolfo Bruce Campos is 1669540555 and holds a License No. (Arizona).

The current practice location address for Rudolfo Bruce Campos is 114 Mccormick Canyon, Clifton, AZ and can be reached out via phone at 928-865-3109.

Location: 114 Mccormick Canyon, Clifton, AZ, 85533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669540555
Provider Name
Rudolfo Bruce Campos
Credential
Provider Entity Type
Individual
Gender
Male
Address
114 Mccormick Canyon, Clifton, AZ, 85533
Phone Number
928-865-3109
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
758287 05 AZ
institution
Provider Business Practice Location Address Details
Address
114 Mccormick Canyon
City
Clifton
State
Arizona
Zip
85533
Phone Number
928-865-3109
Fax Number
person
Provider Business Mailing Address Details
Address
114 Mccormick Canyon
City
Clifton
State
Arizona
Zip
85533
Phone Number
928-865-3109
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.
(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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