NPI 1396047080

Davey Henderson

Practitioner Child Mental Illness Respite Care Avondale, AZ

Practice location

Address: 12641 E. Earll Drive, Avondale, AZ 85392
Phone: (602) 316-9834

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X Licence 1230257 (AZ)

Other Respite Care providers in Arizona →

Registry record

NPI: 1396047080
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2010
Record last updated: 1 Dec 2010

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.