Meme'S Safe Haven Youth Resource Center
Behavior Technician in Avondale, AZ. Organization (NPI-2).
NPI number1841978293
StatusActive
Last updated in NPPESJul 6, 2023
Details
- NPI
- 1841978293
- Entity type
- Organization (NPI-2)
- Legal business name
- Meme'S Safe Haven Youth Resource Center
- Organization subpart
- No
- Enumeration date
- Jul 6, 2023
- Certification date
- Jul 6, 2023
- Last updated
- Jul 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Meme'S Safe Haven (Doing Business As)
Practice location
10763 W Mountain View DrAvondale, AZ 85323-1155
Phone 310-779-8804
Mailing address
1453 W Dysart Road Suite 106Avondale, AZ 85323-0110
Phone 310-779-8804
Other practice locations
719 E Pepper Pl
Mesa, AZ 85203-8747
Mesa, AZ 85203-8747
Phone 310-779-8804
6107 E Encanto St
Mesa, AZ 85205-5956
Mesa, AZ 85205-5956
Phone 310-779-8804
2902 W Sweetwater Ave
Phoenix, AZ 85029-1398
Phoenix, AZ 85029-1398
Phone 310-779-8804
Authorized official
Jane Nowden
Technician/Facilitator/Coach
3107798804
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