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Daniel Anderson
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1700953197

Daniel Anderson is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Daniel Anderson practices in Phoenix, AZ. The NPI Number for Daniel Anderson is 1700953197 and holds a License No. 10031 (Arizona).

The current practice location address for Daniel Anderson is 12452 N 36Th Dr, Phoenix, AZ and can be reached out via phone at 602-863-2981.

Location: 12452 N 36Th Dr, Phoenix, AZ, 85029-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700953197
Provider Name
Daniel Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
12452 N 36Th Dr, Phoenix, AZ, 85029-2103
Phone Number
602-863-2981
Fax Number
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
975667 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
12452 N 36Th Dr
City
Phoenix
State
Arizona
Zip
85029-2103
Phone Number
602-863-2981
Fax Number
person
Provider Business Mailing Address Details
Address
12452 N 36Th Dr
City
Phoenix
State
Arizona
Zip
85029-2103
Phone Number
602-863-2981
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.
10031 (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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