Individual
JANE GACHOKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11017 E ASPEN AVE, MESA, AZ 85208-8638
(480) 289-0149
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
(602) 859-7794
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5917
AZ
385H00000X
Respite Care
BH5917
AZ
Other
Enumeration date
04/25/2023
Last updated
05/01/2024
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