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Mulligan's Manor, Inc.
Adolescent and Children Mental Health Clinic/Center in Tempe, Arizona
NPI 1427536770

Mulligan's Manor, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Tempe, AZ and is specialized in Adolescent and Children Mental Health. Mulligan's Manor, Inc. practices in Tempe, AZ. The NPI Number for Mulligan's Manor, Inc. is 1427536770 and holds a License No. (Arizona).

The current practice location address for Mulligan's Manor, Inc. is 4701 S Lakeshore Dr Unit 1, Tempe, AZ and can be reached out via phone at 480-831-8721 and via fax at 480-272-8708.

Location: 4701 S Lakeshore Dr Unit 1, Tempe, AZ, 85282-7169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427536770
Provider Name
Mulligan's Manor, Inc.
Credential
Provider Entity Type
Organization
Address
4701 S Lakeshore Dr Unit 1, Tempe, AZ, 85282-7169
Phone Number
480-831-8721
Fax Number
480-272-8708
Provider Enumeration Date
07/30/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
217581 05 AZ
institution
Provider Business Practice Location Address Details
Address
4701 S Lakeshore Dr Unit 1
City
Tempe
State
Arizona
Zip
85282-7169
Phone Number
480-831-8721
Fax Number
480-272-8708
person
Provider Business Mailing Address Details
Address
4701 S Lakeshore Dr Unit 1
City
Tempe
State
Arizona
Zip
85282-7169
Phone Number
480-831-8721
Fax Number
480-272-8708
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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