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Hannah Wotasik
Child Mental Illness Respite Care in Flagstaff, Arizona
NPI 1720408818

Hannah Wotasik is a Child Mental Illness Respite Care based in Flagstaff, AZ and is specialized in Respite Care, Mental Illness, Child. Hannah Wotasik practices in Flagstaff, AZ. The NPI Number for Hannah Wotasik is 1720408818 and holds a License No. 5418731 (Arizona).

The current practice location address for Hannah Wotasik is 1374 S Burlington St, Flagstaff, AZ and can be reached out via phone at 928-310-8228.

Location: 1374 S Burlington St, Flagstaff, AZ, 86001-2445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720408818
Provider Name
Hannah Wotasik
Credential
Provider Entity Type
Individual
Gender
Female
Address
1374 S Burlington St, Flagstaff, AZ, 86001-2445
Phone Number
928-310-8228
Fax Number
Provider Enumeration Date
04/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1374 S Burlington St
City
Flagstaff
State
Arizona
Zip
86001-2445
Phone Number
928-310-8228
Fax Number
person
Provider Business Mailing Address Details
Address
1374 S Burlington St
City
Flagstaff
State
Arizona
Zip
86001-2445
Phone Number
928-310-8228
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.
5418731 (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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