Individual provider · NPI-1

Yvette I Haughton

Respite Care, Respite Care, Mental Illness, Child · Peoria, AZ

NPI number1114539004
StatusActive
Last updated in NPPESAug 20, 2020

Details

NPI
1114539004
Entity type
Individual (NPI-1)
Name
Yvette I Haughton
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 20, 2020
Certification date
Aug 20, 2020
Last updated
Aug 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
385HR2055X Respite Care, Respite Care, Mental Illness, Child6371616AZYes

Practice location

11275 N 99th Ave Lot 117
Peoria, AZ 85345-5479

Phone 623-687-8031

Mailing address

11275 N 99th Ave
Peoria, AZ 85345-5471

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