Organization · Type 2 NPI
Destiny Behavioral Health Residential Care LLC 3
Mental Illness Community Based Residential Treatment Facility · Tolleson, AZ
NPI number
1184012213
Active
Practice location
3427 S 84th Ln
Tolleson, AZ 85353-7610
Fax (623) 435-6566
Mailing address
2911 S 87th Dr
Tolleson, AZ 85353-8650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH4528 (AZ) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1184012213
Destiny Behavioral Health Residential Care LLC 3's National Provider Identifier is 1184012213, issued on Dec 23, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tolleson, AZ. The record was last updated on Dec 23, 2014.