Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missouri Ford

Individual provider Child Mental Illness Respite Care · NPI 1720378532

Missouri Ford is a Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011

Practice location Address checks out

1735 W Missouri Ave #408
Phoenix, AZ 85015-2605
Phone: (602) 643-6577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Mental Illness Respite Care (primary) Taxonomy 385HR2055X · Licence 2477902 (AZ)

Record details

NPI number1720378532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2011
Last updated in NPPESApril 13, 2011
Mailing address1735 W Missouri Ave, 408, Phoenix, AZ 85015-2605

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