person
Lenore Gaines
Emotionally Disturbed Childrens' Residential Treatment Facility in Mesa, Arizona
NPI 1124731146

Lenore Gaines is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Mesa, AZ. Lenore Gaines practices in Mesa, AZ. The NPI Number for Lenore Gaines is 1124731146 and holds a License No. BH7724 (Arizona).

The current practice location address for Lenore Gaines is 1334 E Millett Ave, Mesa, AZ and can be reached out via phone at 619-971-9626.

Location: 1334 E Millett Ave, Mesa, AZ, 85204-4343
person
Provider Profile Details
NPI Number
1124731146
Provider Name
Lenore Gaines
Credential
Provider Entity Type
Individual
Gender
Female
Address
1334 E Millett Ave, Mesa, AZ, 85204-4343
Phone Number
619-971-9626
Fax Number
Provider Enumeration Date
01/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1334 E Millett Ave
City
State
Zip
85204-4343
Phone Number
619-971-9626
Fax Number
person
Provider Business Mailing Address Details
Address
1334 E Millett Ave
City
State
Zip
85204-4343
Phone Number
619-971-9626
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH7724 (Arizona)
Definition
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.
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