NPI 1811404437

Montique S Collins

Practitioner Foster Care Agency Phoenix, AZ

Practice location

Address: 729 W Maldonado Rd, Phoenix, AZ 85041-6763
Phone: (602) 455-4626
Fax: (602) 455-2624
Mailing address: 3620 W Glendale Ave 16, Phoenix, AZ 85051

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 6439857 (AZ)

Other Foster Care Agency providers in Arizona →

Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X Licence 6439857 (AZ)

Other Respite Care providers in Arizona →

Registry record

NPI: 1811404437
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2018
Record last updated: 10 Mar 2020

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.