Individual provider · Type 1 NPI
Clarisse Kamgaing
Mental Illness Community Based Residential Treatment Facility · Gilbert, AZ
NPI number
1043675838
Active
Practice location
2442 E Eleana Ln
Gilbert, AZ 85298-2314
Fax (480) 719-8105
Mailing address
2184 E Firestone Dr
Chandler, AZ 85249-4634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH-4784 (AZ) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
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About NPI 1043675838
Clarisse Kamgaing's National Provider Identifier is 1043675838, issued on Dec 21, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gilbert, AZ. The record was last updated on Oct 2, 2026.