NPI 1033920194

Mark Anthony Andrews

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Goodyear, AZ

Practice location

Address: 10979 S Indian Wells Dr, Goodyear, AZ 85338-9101
Phone: (708) 969-8050

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1033920194
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2025
Record last updated: 17 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.