Destiny Behavioral Health Residential Care LLC 3
NPI #1184012213 in Tolleson, Arizona
Provider Information
- NPI Number
- 1184012213
- Entity Type
- Organization
- Organization Name
- Destiny Behavioral Health Residential Care LLC 3
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Dec 23, 2014
- Last Updated
- Dec 23, 2014
Practice Location
Authorized Official
- Name
- FUNSO FEYI OGUNLA
- Title
- PROGRAM DIRECTOR
- Phone
- (623) 748-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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