IndividualActive
Dale Ferguson
NPI 1790844322 · Child Mental Illness Respite Care · Peoria, AZ
Provider details
- NPI number
- 1790844322
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11264 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
8770 W Paradise Dr
Peoria, AZ 85345
Phone: (623) 486-8307
Approximate (ZIP-level) locationGet directions
Mailing address
8770 W Paradise Dr
Peoria, AZ 85345
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.