Destiny Behavioral Health Residential Care LLC 6

NPI #1427614429 in Tolleson, Arizona

Provider Information

NPI Number: 1427614429
Entity Type: Organization
Organization Name: Destiny Behavioral Health Residential Care LLC 6
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 15, 2019
Last Updated: May 15, 2019

Practice Location

Address: 8755 W PIONEER STREET
City: Tolleson
State: Arizona
ZIP Code: 85353
Phone: (602) 384-8820

Authorized Official

Name: MR. FUNSO FEYL 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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