IndividualActive
Corey Starks
NPI 1225275191 · Child Mental Illness Respite Care · Tucson, AZ
Provider details
- NPI number
- 1225275191
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1049220 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
4880 N Sabino Canyon Rd Apt 4219
Tucson, AZ 85750-7008
Phone: (816) 956-1487
Approximate (ZIP-level) locationGet directions
Mailing address
4880 N Sabino Canyon Rd Apt 4219
Tucson, AZ 85750-7008
Registry dates
- Enumerated
- 2009-01-14
- Last updated
- 2009-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.