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

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH-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.

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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.