Meme'S Safe Haven Youth Resource Center

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

MEME'S SAFE HAVEN YOUTH RESOURCE CENTER

Practice address

10763 W Mountain View Dr
Avondale, AZ 85323-1155

Phone

(310) 779-8804

NPI assigned

Jul 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jane Nowden, BEHAVIORAL HEALTH

Title

Technician/Facilitator/Coach

Phone

(310) 779-8804

Specialties & licenses 1

Addresses

Other names 1

• MeMe's Safe Haven Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1841978293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 W DYSART ROAD SUITE 106",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853230110",
            "telephone_number": "310-779-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10763 W MOUNTAIN VIEW DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231155",
            "telephone_number": "310-779-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 E Pepper Pl",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852038747",
            "country_code": "US",
            "telephone_number": "310-779-8804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2902 W Sweetwater Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850291398",
            "country_code": "US",
            "telephone_number": "310-779-8804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6107 E Encanto St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852055956",
            "country_code": "US",
            "telephone_number": "310-779-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEME'S SAFE HAVEN YOUTH RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "NOWDEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "TECHNICIAN/FACILITATOR/COACH",
        "authorized_official_telephone_number": "310-779-8804",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BEHAVIORAL HEALTH"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MeMe's Safe Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Meiers
• Blanca P Mejia de Ortiz, PA
• Alexis Adriana Mejia-Aguirre
• Serenity Mejia
• Vanessa Sarahi Melendez
• Martha Mena
• Wade Arthur Mendenhall, DDS
• Criselle Ann Mendez
• Menm, LLC
• Merciful Behavioral Health Services LLC

• All providers in Avondale, AZ
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.