Organization · Type 2 NPI

San Tan Behavioral Health SVCS

Child Mental Illness Respite Care · Mesa, AZ

NPI number 1083916035 Active

Practice location

9648 E. Jacob Circle
Mesa, AZ 85209

Call (480) 588-7731 Map

Fax (480) 632-0026

Mailing address

2451 E Baseline Road, Ste 430
Gilbert, AZ 85234

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-10764 (AZ)
Non-emergency Medical Transport (VAN) 343900000XNone listed
Child Mental Illness Respite Care Primary 385HR2055XBH-3658 (AZ)

Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

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About NPI 1083916035

San Tan Behavioral Health SVCS's National Provider Identifier is 1083916035, issued on Nov 24, 2010. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Mesa, AZ. The record was last updated on Dec 9, 2010.