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Organization
SAN TAN BEHAVIORAL HEALTH SERVICES
Active
Organization
SAN TAN BEHAVIORAL HEALTH SERVICES
Active
Parent organization
SAN TAN BEHAVIORAL HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN TAN BEHAVIORAL HEALTH LLC
Authorized official
MRS. MELISSA DAWN NELSON MA, LPC (OWNER)
(480) 507-3644
Entity
Organization
Contact information
Practice address
3970 EAST JUANITA AVENUE, GILBERT, AZ 85234
(480) 507-3644
(480) 632-0026
Mailing address
459 N. GILBERT RD STE C-100, GILBERT, AZ 85234
(840) 507-3644
(480) 632-0026
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308968
—
AZ
Enumeration date
11/14/2018
Last updated
11/14/2018
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