| Meme's Safe Haven Youth Resource Center | |
|
10763 W Mountain View Dr Avondale AZ 85323-1155 | |
| (310) 779-8804 | |
| Not Available |
| Full Name | Meme's Safe Haven Youth Resource Center |
|---|---|
| Speciality | Behavior Technician |
| Location | 10763 W Mountain View Dr, Avondale, Arizona |
| Authorized Official Name and Position | Jane Nowden (TECHNICIAN/FACILITATOR/COACH) |
| Authorized Official Contact | 3107798804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meme's Safe Haven Youth Resource Center 1453 W Dysart Road Suite 106 Avondale AZ 85323-0110 Ph: (310) 779-8804 | Meme's Safe Haven Youth Resource Center 10763 W Mountain View Dr Avondale AZ 85323-1155 Ph: (310) 779-8804 |
| NPI Number | 1841978293 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841978293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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