Organization · Type 2 NPI

Seeds of Gaia LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Mesa, AZ

NPI number 1063802205 Active

Practice location

455 S Mesa Dr Unit 142
Mesa, AZ 85210-2711

Mailing address

PO Box 4252
Mesa, AZ 85211-4252

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XL-1744233-1 (AZ)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

3 other providers at this address

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About NPI 1063802205

Seeds of Gaia LLC's National Provider Identifier is 1063802205, issued on Jan 26, 2015. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Mesa, AZ. The record was last updated on Jan 26, 2015.