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Individual
MELISSA WEST
Active
Individual
MELISSA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
BH8805
AZ
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH8805
AZ
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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