NPI 1316138712

Joyce M Lopez, MBA

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Phoenix, AZ

Practice location

Address: 16632 S 29th Pl, Phoenix, AZ 85048-8518
Phone: (480) 940-0938

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 10719 (AZ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Arizona →

Registry record

NPI: 1316138712
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2007
Record last updated: 9 Aug 2007

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.