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Jesus Duarte
Child Mental Illness Respite Care in Parks, Arizona
NPI 1841358231

Jesus Duarte is a Child Mental Illness Respite Care based in Parks, AZ and is specialized in Respite Care, Mental Illness, Child. Jesus Duarte practices in Parks, AZ. The NPI Number for Jesus Duarte is 1841358231 and holds a License No. 3887 (Arizona).

The current practice location address for Jesus Duarte is 291 N. Stevens Ln., Parks, AZ and can be reached out via phone at 928-600-5544.

Location: 291 N. Stevens Ln., Parks, AZ, 86018-0224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841358231
Provider Name
Jesus Duarte
Credential
Provider Entity Type
Individual
Gender
Male
Address
291 N. Stevens Ln., Parks, AZ, 86018-0224
Phone Number
928-600-5544
Fax Number
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
738148 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
291 N. Stevens Ln.
City
Parks
State
Arizona
Zip
86018
Phone Number
928-600-5544
Fax Number
person
Provider Business Mailing Address Details
Address
291 N. Stevens Ln.
City
Parks
State
Arizona
Zip
86018
Phone Number
928-600-5544
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.
3887 (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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