Organization · Type 2 NPI
Amazing G LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Mesa, AZ
NPI number
1194269134
Active
Practice location
3030 N Saranac
Mesa, AZ 85207-1563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH4995 (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.
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About NPI 1194269134
Amazing G LLC's National Provider Identifier is 1194269134, issued on Dec 9, 2016. 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 Dec 9, 2016.