person
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. You can also correspond with Patricia Willis through the mailing address at 541 N LEWIS, MESA, AZ - 85201-5910 (mailing address contact number: 480-593-3803).

Location: 541 N Lewis, Mesa, AZ, 85201-5910
person
Provider Profile Details
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
916182 01 AZ AHCCCS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
541 N Lewis
City
State
Zip
85201-5910
Phone Number
480-593-3803
Fax Number
person
Provider Business Mailing Address Details
Address
541 N Lewis
City
State
Zip
85201-5910
Phone Number
480-593-3803
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
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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