Mon Ami Group Home
Mon Ami Group Home is a Community/Behavioral Health Agency in Mesa, Arizona. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
9138 E Dennis StMesa, AZ 85207-6008
Phone: (480) 380-4413
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1013481993 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Salim Odiero — Administrator · (503) 805-9203 |
| NPI enumerated | January 14, 2019 |
| Last updated in NPPES | June 10, 2020 |
| Certification date | June 10, 2020 |
| Mailing address | 9138 E Dennis St, Mesa, AZ 85207-6008 |
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