| Village Mentors | |
|
4903 E Dixon Cir Mesa AZ 85205-6453 | |
| (480) 313-4770 | |
| Not Available |
| Full Name | Village Mentors |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 4903 E Dixon Cir, Mesa, Arizona |
| Authorized Official Name and Position | Jermaine Jordan (CEO) |
| Authorized Official Contact | 4803134770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Mentors 4903 E Dixon Cir Mesa AZ 85205-6453 Ph: (480) 313-4770 | Village Mentors 4903 E Dixon Cir Mesa AZ 85205-6453 Ph: (480) 313-4770 |
| NPI Number | 1457997280 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457997280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
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