Maurice Nicholas Willis Valid NPI
Individual provider · Child Mental Illness Respite Care · Phoenix, AZ
- NPI
- 1043367352
- Type
- Individual (Type 1)
- Primary specialty
- Child Mental Illness Respite Care (Respite Care)
- Specialty group
- Respite Care Facility
- Taxonomy code
- 385HR2055X
- License number
- 10990 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-01-05
- Last updated
- 2007-07-08
Practice location
1213 E Echo Ln
Phoenix, AZ 85020-3827
(602) 242-0842