Destiny Behavioral Health Residential Care, LLC

NPI #1194390252 in Tolleson, Arizona

Provider Information

NPI Number: 1194390252
Entity Type: Organization
Organization Name: Destiny Behavioral Health Residential Care, LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 21, 2021
Last Updated: May 21, 2021

Practice Location

Address: 10323 W ODEUM LN
City: Tolleson
State: Arizona
ZIP Code: 85353-4195
Phone: (623) 440-4126

Authorized Official

Name: MR. FUNSO FEYI OGUNLA
Title: DIRECTOR
Phone: (602) 384-8820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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