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Mr. Dale Philip Ferguson
Child Mental Illness Respite Care in Peoria, Arizona
NPI 1790844322

Dale Philip Ferguson is a Child Mental Illness Respite Care based in Peoria, AZ and is specialized in Respite Care, Mental Illness, Child. Dale Philip Ferguson practices in Peoria, AZ. The NPI Number for Dale Philip Ferguson is 1790844322 and holds a License No. 11264 (Arizona).

The current practice location address for Dale Philip Ferguson is 8770 W Paradise Dr, Peoria, AZ and can be reached out via phone at 623-486-8307. You can also correspond with Dale Philip Ferguson through the mailing address at 8770 W PARADISE DR, PEORIA, AZ - 85345 (mailing address contact number: 623-486-8307).

Location: 8770 W Paradise Dr, Peoria, AZ, 85345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790844322
Provider Name
Dale Philip Ferguson
Credential
Provider Entity Type
Individual
Gender
Male
Address
8770 W Paradise Dr, Peoria, AZ, 85345
Phone Number
623-486-8307
Fax Number
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8770 W Paradise Dr
City
Peoria
State
Arizona
Zip
85345
Phone Number
623-486-8307
Fax Number
person
Provider Business Mailing Address Details
Address
8770 W Paradise Dr
City
Peoria
State
Arizona
Zip
85345
Phone Number
623-486-8307
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.
11264 (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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