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Lorenzo Castillo
Child Mental Illness Respite Care in Goodyear, Arizona
NPI 1932326162

Lorenzo Castillo is a Child Mental Illness Respite Care based in Goodyear, AZ and is specialized in Respite Care, Mental Illness, Child. Lorenzo Castillo practices in Goodyear, AZ. The NPI Number for Lorenzo Castillo is 1932326162 and holds a License No. 12312 (Arizona).

The current practice location address for Lorenzo Castillo is 15552 W Mohave St, Goodyear, AZ and can be reached out via phone at 623-236-3579.

Location: 15552 W Mohave St, Goodyear, AZ, 85338-2930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932326162
Provider Name
Lorenzo Castillo
Credential
Provider Entity Type
Individual
Gender
Male
Address
15552 W Mohave St, Goodyear, AZ, 85338-2930
Phone Number
623-236-3579
Fax Number
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12312 01 AZ LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
15552 W Mohave St
City
Goodyear
State
Arizona
Zip
85338-2930
Phone Number
623-236-3579
Fax Number
person
Provider Business Mailing Address Details
Address
15552 W Mohave St
City
Goodyear
State
Arizona
Zip
85338-2930
Phone Number
623-236-3579
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.
12312 (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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