Doctor Name: | GLORIA SANCHEZ |
NPI Number: | 1760558076 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | BH-2799 |
Business Practice Address: | 28821 E. Annie Lane Marana, AZ - 85741 |
Business Phone Number: | 5206829496 |
Business Fax Number: | |
Mailing Address: | 28821 E. Annie Lane, MARANA |
State: | AZ |
Postal Code: | 85741 |
Phone Number: | 5206829496 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | BH-2799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |