OrganizationActive
Directly Affected
NPI 1124603394 · Adolescent and Children Mental Health Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1124603394
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Dominique Myrick, President
Mailing address
2522 S Terripin
Mesa, AZ 85209-4959
Registry dates
- Enumerated
- 2021-03-10
- Last updated
- 2021-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.