IndividualActive
Adena Mcgordon
NPI 1467768697 · Child Mental Illness Respite Care · Tolleson, AZ
Provider details
- NPI number
- 1467768697
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2281572 (AZ)
Mailing address
9612 W Superior Ave
Tolleson, AZ 85353-8586
Registry dates
- Enumerated
- 2010-08-25
- Last updated
- 2010-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.