Covenant Behavioral Health Residential Facility.

NPI #1699523977 in Laveen, Arizona

Provider Information

NPI Number: 1699523977
Entity Type: Organization
Organization Name: Covenant Behavioral Health Residential Facility.
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: May 10, 2024
Last Updated: Dec 13, 2024

Practice Location

Address: 5322 W SHUMWAY FARM RD
City: Laveen
State: Arizona
ZIP Code: 85339-6925
Phone: (623) 330-7509

Authorized Official

Name: ADANE HAILE NIGANI, BHPP
Title: ADMINISTRATOR
Phone: (623) 330-7509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances	3104A0630X
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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