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Scott Burton
Child Mental Illness Respite Care in Hereford, Arizona
NPI 1881831139

Scott Burton is a Child Mental Illness Respite Care based in Hereford, AZ and is specialized in Respite Care, Mental Illness, Child. Scott Burton practices in Hereford, AZ. The NPI Number for Scott Burton is 1881831139 and holds a License No. 11782 (Arizona).

The current practice location address for Scott Burton is 5840 E Dakota Rd, Hereford, AZ and can be reached out via phone at 520-803-0365.

Location: 5840 E Dakota Rd, Hereford, AZ, 85615-9723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881831139
Provider Name
Scott Burton
Credential
Provider Entity Type
Individual
Gender
Male
Address
5840 E Dakota Rd, Hereford, AZ, 85615-9723
Phone Number
520-803-0365
Fax Number
Provider Enumeration Date
01/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000000 05 AS
institution
Provider Business Practice Location Address Details
Address
5840 E Dakota Rd
City
Hereford
State
Arizona
Zip
85615-9723
Phone Number
520-803-0365
Fax Number
person
Provider Business Mailing Address Details
Address
5840 E Dakota Rd
City
Hereford
State
Arizona
Zip
85615-9723
Phone Number
520-803-0365
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.
11782 (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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