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NPI Code Detail

MEDICARE: THE U-TURN FOUNDATION

MEDICARE: THE U-TURN FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1396079703
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE U-TURN FOUNDATION
Provider Business Mailing Address
First Line : 5235 E SOUTHERN AVE # D106-606
Second Line :
City : MESA
State : AZ
Zip : 85206-3626
Country : US
Telephone Number : 480-634-1163
Fax Number : 480-634-1952
Provider Business Practice Location Address
First Line : 3707 E SOUTHERN AVE STE 1014
Second Line :
City : MESA
State : AZ
Zip : 85206-6201
Country : US
Telephone Number : 480-678-6069
Fax Number : 480-634-1952
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. MELONY KIM OPHEIM
Credential : LCSW
Telephone Number : 480-202-1000
Provider Enumeration Date : 10/01/2009
Last Update Date : 10/29/2019

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Directions to “THE U-TURN FOUNDATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.