NPIRadar

Benjamin Nelson, M.A., BHT Valid NPI

Individual provider · Child Mental Illness Respite Care · Phoenix, AZ

NPI
1134484876
Type
Individual (Type 1)
Primary specialty
Child Mental Illness Respite Care (Respite Care)
Specialty group
Respite Care Facility
Taxonomy code
385HR2055X
License number
3856919 (AZ)
Sex
Male
Sole proprietor
Yes
Enumerated
2012-07-09
Last updated
2012-07-09
Practice location
4372 E Sack Dr
Phoenix, AZ 85050-3395
(480) 326-4233

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