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Vanessa Samuels
Child Mental Illness Respite Care in Surprise, Arizona
NPI 1811483548

Vanessa Samuels is a Child Mental Illness Respite Care based in Surprise, AZ and is specialized in Respite Care, Mental Illness, Child. Vanessa Samuels practices in Surprise, AZ. The NPI Number for Vanessa Samuels is 1811483548 and holds a License No. (Arizona).

The current practice location address for Vanessa Samuels is 16224 N 154Th Dr, Surprise, AZ and can be reached out via phone at 602-283-7117.

Location: 16224 N 154Th Dr, Surprise, AZ, 85374-7416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811483548
Provider Name
Vanessa Samuels
Credential
Provider Entity Type
Individual
Gender
Female
Address
16224 N 154Th Dr, Surprise, AZ, 85374-7416
Phone Number
602-283-7117
Fax Number
Provider Enumeration Date
07/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16224 N 154Th Dr
City
Surprise
State
Arizona
Zip
85374-7416
Phone Number
602-283-7117
Fax Number
person
Provider Business Mailing Address Details
Address
16224 N 154Th Dr
City
Surprise
State
Arizona
Zip
85374-7416
Phone Number
602-283-7117
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.
(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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