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Mrs. Tanya Johnson
Child Mental Illness Respite Care in Laveen, Arizona
NPI 1821250226

Tanya Johnson is a Child Mental Illness Respite Care based in Laveen, AZ and is specialized in Respite Care, Mental Illness, Child. Tanya Johnson practices in Laveen, AZ. The NPI Number for Tanya Johnson is 1821250226 and holds a License No. 673139 (Arizona).

The current practice location address for Tanya Johnson is 6824 S 68Th Dr, Laveen, AZ and can be reached out via phone at 602-237-8782.

Location: 6824 S 68Th Dr, Laveen, AZ, 85339-5013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821250226
Provider Name
Tanya Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6824 S 68Th Dr, Laveen, AZ, 85339-5013
Phone Number
602-237-8782
Fax Number
Provider Enumeration Date
06/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6824 S 68Th Dr
City
Laveen
State
Arizona
Zip
85339-5013
Phone Number
602-237-8782
Fax Number
person
Provider Business Mailing Address Details
Address
6824 S 68Th Dr
City
Laveen
State
Arizona
Zip
85339-5013
Phone Number
602-237-8782
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.
673139 (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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