Destiny Behavioral Health Residential Care LLC 2
NPI #1093117384 in Tolleson, Arizona
Provider Information
- NPI Number
- 1093117384
- Entity Type
- Organization
- Organization Name
- Destiny Behavioral Health Residential Care LLC 2
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 18, 2014
- Last Updated
- Sep 18, 2014
Practice Location
Authorized Official
- Name
- MR. FUNSO FEYI OGUNLA
- Title
- PROGRAM DIRECTOR
- Phone
- (623) 374-3377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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