Organization · Type 2 NPI

Family Service Agency

Community/Behavioral Health Agency · Mesa, AZ

NPI number 1740487222 Active

Practice location

1107 S Gilbert Rd, Suite 104
Mesa, AZ 85204-5232

Fax (602) 234-2639

Mailing address

PO Box 86537
Tucson, AZ 85754-6537

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
Voluntary or Charitable Agency 251V00000XBH-1277 (AZ)
Voluntary or Charitable Agency 251V00000XOTC8084 (AZ)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1740487222

Family Service Agency's National Provider Identifier is 1740487222, issued on Jun 28, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Mesa, AZ. The record was last updated on Nov 21, 2023.