Patricia Willis - Mesa, AZ

Patricia Willis

Child Mental Illness Respite Care in Mesa, Arizona

NPI 1811062359

Patricia Willis is a Child Mental Illness Respite Care based in Mesa, AZ and is specialized in Respite Care, Mental Illness, Child. Patricia Willis practices in Mesa, AZ. The NPI Number for Patricia Willis is 1811062359 and holds a License No. 9482 (Arizona).

The current practice location address for Patricia Willis is 541 N Lewis, Mesa, AZ and can be reached out via phone at 480-593-3803.

Location: 541 N Lewis, Mesa, AZ, 85201-5910

NPI Number

1811062359

Provider Name

Patricia Willis

Credential

Provider Entity Type

Individual

Gender

Female

Address

541 N Lewis, Mesa, AZ, 85201-5910

Phone Number

480-593-3803

Fax Number

Provider Enumeration Date

11/21/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
916182	01	AZ	AHCCCS ID NUMBER

Address

541 N Lewis

City

Mesa

State

Arizona

Zip

85201-5910

Phone Number

480-593-3803

Fax Number

Address

541 N Lewis

City

Mesa

State

Arizona

Zip

85201-5910

Phone Number

480-593-3803

Fax Number

Type

Respite Care Facility

Classification

Respite Care

Speciality

Respite Care, Mental Illness, Child

Taxonomy

385HR2055X

License No.

9482 (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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