Destiny Behavioral Health Residential Care, LLC 7

NPI #1639794522 in Tolleson, Arizona

Provider Information

NPI Number: 1639794522
Entity Type: Organization
Organization Name: Destiny Behavioral Health Residential Care, LLC 7
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jun 16, 2020
Last Updated: Jun 16, 2020

Practice Location

Address: 9915 W WIER AVE
City: Tolleson
State: Arizona
ZIP Code: 85353-4429
Phone: (602) 384-8820

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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