Adena Marie Mcgordon Valid NPI
Individual provider · Child Mental Illness Respite Care · Tolleson, AZ
- NPI
- 1467768697
- Type
- Individual (Type 1)
- Primary specialty
- Child Mental Illness Respite Care (Respite Care)
- Specialty group
- Respite Care Facility
- Taxonomy code
- 385HR2055X
- License number
- 2281572 (AZ)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-08-25
- Last updated
- 2010-08-25
Practice location
9612 W Superior Ave
Tolleson, AZ 85353-8586
(602) 487-4593