Whalio Doctors

NPI 1194269134

Amazing G LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Mesa, AZ

Practice location

Address
3030 N Saranac, Mesa, AZ 85207-1563
Phone
(602) 332-4800

Authorised official

Name
Victoria Armstrong-Mensah
Title
Owner
Phone
(602) 332-4800

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence BH4995 (AZ)

Registry record

NPI
1194269134
Entity type
Organization
NPI issued
9 Dec 2016
Record last updated
9 Dec 2016

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.