Whalio Doctors

NPI 1083916035

San Tan Behavioral Health Svcs

Organisation Child Mental Illness Respite Care Mesa, AZ

Practice location

Address
9648 E. Jacob Circle, Mesa, AZ 85209
Phone
(480) 588-7731
Fax
(480) 632-0026
Mailing address
2451 E Baseline Road STE 430, Gilbert, AZ 85234

Authorised official

Name
Richard Warren Arbogast
Title
Ceo
Phone
(480) 773-2384

Registered specialties (3)

Child Mental Illness Respite Care Primary
Respite Care Facility Taxonomy 385HR2055X Licence BH-3658 (AZ)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LPC-10764 (AZ)
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X

Registry record

NPI
1083916035
Entity type
Organization
NPI issued
24 Nov 2010
Record last updated
9 Dec 2010

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.