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Melissa West
Emotionally Disturbed Childrens' Residential Treatment Facility in Mesa, Arizona
NPI 1982486080

Melissa West is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Tempe, AZ. Melissa West practices in Mesa, AZ. The NPI Number for Melissa West is 1982486080 and holds a License No. BH8805 (Arizona).

The current practice location address for Melissa West is 921 S Val Vista Dr Unit 26, Mesa, AZ and can be reached out via phone at 480-299-7264.

Location: 921 S Val Vista Dr Unit 26, Mesa, AZ, 85285-4718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982486080
Provider Name
Melissa West
Credential
Provider Entity Type
Individual
Gender
Female
Address
921 S Val Vista Dr Unit 26, Mesa, AZ, 85285-4718
Phone Number
480-299-7264
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 S Val Vista Dr Unit 26
City
Mesa
State
Arizona
Zip
85204-5610
Phone Number
480-299-7264
Fax Number
person
Provider Business Mailing Address Details
Address
921 S Val Vista Dr Unit 26
City
Mesa
State
Arizona
Zip
85204-5610
Phone Number
480-299-7264
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.
BH8805 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH8805 (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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