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Glenda Sullivan
Child Mental Illness Respite Care in Goodyear, Arizona
NPI 1891005492

Glenda Sullivan is a Child Mental Illness Respite Care based in Goodyear, AZ and is specialized in Respite Care, Mental Illness, Child. Glenda Sullivan practices in Goodyear, AZ. The NPI Number for Glenda Sullivan is 1891005492 and holds a License No. 2576526 (Arizona).

The current practice location address for Glenda Sullivan is 10710 S. Morningside Dr, Goodyear, AZ and can be reached out via phone at 623-932-2429.

Location: 10710 S. Morningside Dr, Goodyear, AZ, 85338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891005492
Provider Name
Glenda Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
10710 S. Morningside Dr, Goodyear, AZ, 85338
Phone Number
623-932-2429
Fax Number
Provider Enumeration Date
10/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10710 S. Morningside Dr
City
Goodyear
State
Arizona
Zip
85338
Phone Number
623-932-2429
Fax Number
person
Provider Business Mailing Address Details
Address
10710 S. Morningside Dr
City
Goodyear
State
Arizona
Zip
85338
Phone Number
623-932-2429
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.
2576526 (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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