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Fredrick David Beaver
Child Mental Illness Respite Care in Cochise, Arizona
NPI 1922282904

Fredrick David Beaver is a Child Mental Illness Respite Care based in Dragoon, AZ and is specialized in Respite Care, Mental Illness, Child. Fredrick David Beaver practices in Cochise, AZ. The NPI Number for Fredrick David Beaver is 1922282904 and holds a License No. (Arizona).

The current practice location address for Fredrick David Beaver is 2750 N. Nino Place, Cochise, AZ and can be reached out via phone at 520-253-0352.

Location: 2750 N. Nino Place, Cochise, AZ, 85609-0272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922282904
Provider Name
Fredrick David Beaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
2750 N. Nino Place, Cochise, AZ, 85609-0272
Phone Number
520-253-0352
Fax Number
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2750 N. Nino Place
City
Cochise
State
Arizona
Zip
85606
Phone Number
520-253-0352
Fax Number
person
Provider Business Mailing Address Details
Address
2750 N. Nino Place
City
Cochise
State
Arizona
Zip
85606
Phone Number
520-253-0352
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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