Individual provider · Type 1 NPI
Lenore Gaines
Emotionally Disturbed Childrens' Residential Treatment Facility · Mesa, AZ
NPI number
1124731146
Active
Practice location
1334 E Millett Ave
Mesa, AZ 85204-4343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH7724 (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.
Other emotionally disturbed childrens' residential treatment facility providers in Mesa
About NPI 1124731146
Lenore Gaines's National Provider Identifier is 1124731146, issued on Jan 4, 2023. 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 4, 2023.