Lenore Gaines
Lenore Gaines is an Emotionally Disturbed Childrens' Residential Treatment Facility in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
1334 E Millett AveMesa, AZ 85204-4343
Phone: (619) 971-9626
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence BH7724 (AZ) |
|---|
Record details
| NPI number | 1124731146 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2023 |
| Last updated in NPPES | January 4, 2023 |
| Certification date | January 4, 2023 |
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