Individual provider · Type 1 NPI
Melissa West
Emotionally Disturbed Childrens' Residential Treatment Facility · Mesa, AZ
Practice location
921 S Val Vista Dr Unit 26
Mesa, AZ 85204-5610
Mailing address
PO Box 24718
Tempe, AZ 85285-4718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | BH8805 (AZ) |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH8805 (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 1982486080
Melissa West's National Provider Identifier is 1982486080, issued on Oct 16, 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 Oct 16, 2023.