NPI 1013481993

Mon Ami Group Home

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Mesa, AZ

Practice location

Address: 9138 E Dennis St, Mesa, AZ 85207-6008
Phone: (480) 380-4413

Authorised official

Name: Salim Otieno Odiero
Title: Administrator
Phone: (503) 805-9203

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1013481993
Entity type: Organization
NPI issued: 14 Jan 2019
Record last updated: 10 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.