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Ms. Joan Wells
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1720154800

Joan Wells is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Joan Wells practices in Phoenix, AZ. The NPI Number for Joan Wells is 1720154800 and holds a License No. 3918 (Arizona).

The current practice location address for Joan Wells is 19432 N 3Rd Dr, Phoenix, AZ and can be reached out via phone at 623-869-8692.

Location: 19432 N 3Rd Dr, Phoenix, AZ, 85027-4701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720154800
Provider Name
Joan Wells
Credential
Provider Entity Type
Individual
Gender
Female
Address
19432 N 3Rd Dr, Phoenix, AZ, 85027-4701
Phone Number
623-869-8692
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
740937 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
19432 N 3Rd Dr
City
Phoenix
State
Arizona
Zip
85027-4701
Phone Number
623-869-8692
Fax Number
person
Provider Business Mailing Address Details
Address
19432 N 3Rd Dr
City
Phoenix
State
Arizona
Zip
85027-4701
Phone Number
623-869-8692
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.
3918 (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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