NPI 1831409820

Jose Luis Garcia

Practitioner Child Mental Illness Respite Care Casa Grande, AZ

Practice location

Address: 2412 E Rosario Mission Dr, Casa Grande, AZ 85194-9157
Phone: (520) 709-1571

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X Licence 2670359 (AZ)

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Registry record

NPI: 1831409820
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Oct 2010
Record last updated: 8 Oct 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.