Individual provider · Type 1 NPI
Kelly Megahan
Mental Illness Community Based Residential Treatment Facility · Parks, AZ
NPI number
1346660602
Active
Practice location
3011 S Sycamore Canyon Drive
Parks, AZ 86018-0304
Mailing address
PO Box 50304
Parks, AZ 86018-0304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 3092313 (AZ) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1346660602
Kelly Megahan's National Provider Identifier is 1346660602, issued on Apr 24, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Parks, AZ. The record was last updated on Apr 24, 2014.