IndividualActive
Davey Henderson
NPI 1396047080 · Child Mental Illness Respite Care · Avondale, AZ
Provider details
- NPI number
- 1396047080
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1230257 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
12641 E. Earll Drive
Avondale, AZ 85392
Phone: (602) 316-9834
Approximate (ZIP-level) locationGet directions
Mailing address
12641 E. Earll Drive
Avondale, AZ 85392
Registry dates
- Enumerated
- 2010-12-01
- Last updated
- 2010-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.