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Kelly Megahan
Mental Illness Community Based Residential Treatment Facility in Parks, Arizona
NPI 1346660602

Kelly Megahan is a Mental Illness Community Based Residential Treatment Facility based in Parks, AZ. Kelly Megahan practices in Parks, AZ. The NPI Number for Kelly Megahan is 1346660602 and holds a License No. 3092313 (Arizona).

The current practice location address for Kelly Megahan is 3011 S Sycamore Canyon Drive, Parks, AZ and can be reached out via phone at 928-853-4152.

Location: 3011 S Sycamore Canyon Drive, Parks, AZ, 86018-0304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346660602
Provider Name
Kelly Megahan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3011 S Sycamore Canyon Drive, Parks, AZ, 86018-0304
Phone Number
928-853-4152
Fax Number
Provider Enumeration Date
04/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3011 S Sycamore Canyon Drive
City
Parks
State
Arizona
Zip
86018-0304
Phone Number
928-853-4152
Fax Number
person
Provider Business Mailing Address Details
Address
3011 S Sycamore Canyon Drive
City
Parks
State
Arizona
Zip
86018-0304
Phone Number
928-853-4152
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
3092313 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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