Fredrick David Beaver Valid NPI

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

NPI

1922282904

Type

Individual (Type 1)

Primary specialty

Child Mental Illness Respite Care (Respite Care)

Specialty group

Respite Care Facility

Taxonomy code

385HR2055X

Sex

Male

Sole proprietor

Yes

Enumerated

2007-12-26

Last updated

2008-01-14