Organization · Type 2 NPI

Directly Affected

Adolescent and Children Mental Health Clinic/Center · Mesa, AZ

NPI number 1124603394 Active

Practice location

2522 S Terripin
Mesa, AZ 85209-4959

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Foster Care Agency	253J00000X	None listed
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1124603394

Directly Affected's National Provider Identifier is 1124603394, issued on Mar 10, 2021. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Mesa, AZ. The record was last updated on Mar 10, 2021.