KELLY MEGAHAN - NPI 1346660602 - Community Based Residential Treatment Facility, Mental Illness in Parks, AZ

Q: What is the provider's specialty?

The provider's specialty is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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About Kelly Megahan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MEGAHAN (NPI 1346660602) is an individual community based residential treatment facility, mental illness provider in Parks, Arizona, licensed in Arizona (3092313) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1346660602

Entity TypeIndividualFemale

Primary Taxonomy320800000X

Provider Legal NameKELLY MEGAHAN

Location Address3011 S SYCAMORE CANYON DRIVEParks, AZ 86018-0304

Mailing AddressPo Box 50304Parks, AZ 86018-0304 · (928) 853-4152

Phone(928) 853-4152

Sole ProprietorYes

Enumeration DateApril 24, 2014

✔ NPI 1346660602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in AZ · 3092313

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3011 S SYCAMORE CANYON DRIVE, Parks, AZ 86018

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Frequently Asked Questions

What is Kelly Megahan's NPI number?

The NPI number assigned to this healthcare provider is 1346660602, enumerated as an "individual" on April 24, 2014.

Where is the provider located?

The provider is located at 3011 S SYCAMORE CANYON DRIVE PARKS, AZ 86018 and the phone number is (928) 853-4152.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.