Whalio Doctors

NPI 1770052292

San Tan Behavioral Health Services

Organisation Child Mental Illness Respite Care Gilbert, AZ

Practice location

Address
3970 East Juanita Avenue, Gilbert, AZ 85234
Phone
(480) 507-3644
Fax
(480) 632-0026
Mailing address
459 N. Gilbert Rd STE C-100, Gilbert, AZ 85234

Authorised official

Name
Melissa Dawn Nelson
Title
Owner
Phone
(480) 507-3644

Registered specialties

Child Mental Illness Respite Care Primary
Respite Care Facility Taxonomy 385HR2055X

Registry record

NPI
1770052292
Entity type
Organization
NPI issued
14 Nov 2018
Record last updated
14 Nov 2018

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.