Search › Arizona › Mental Illness Community Based Residential Treatment Facility
Kelly Megahan
NPI 1346660602 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3011 S Sycamore Canyon Drive
Parks, AZ 86018 - Phone
- (928) 853-4152
Registry record
- Primary taxonomy
- Mental Illness Community Based Residential Treatment Facility
320800000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona