IndividualActive
Beverly Lewis
NPI 1932555463 · Child Mental Illness Respite Care · San Tan Valley, AZ
Provider details
- NPI number
- 1932555463
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
- License
- BH4850 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
27 W Red Mesa Trl
San Tan Valley, AZ 85143-6228
Phone: (480) 579-6590
Fax: (602) 896-2580
Approximate (ZIP-level) locationGet directions
Mailing address
2320 W Peoria Ave
Phoenix, AZ 85029-4753
Registry dates
- Enumerated
- 2016-05-13
- Last updated
- 2016-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.