Organization · Type 2 NPI

Faith Behavioral Health Group, LLC

Mental Illness Community Based Residential Treatment Facility · Goodyear, AZ

NPI number 1194312876 Active

Practice location

17870 W Buchanan St
Goodyear, AZ 85338-2582

Fax (623) 600-8822

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

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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NPI record

NPI: 1194312876
Entity type: Organization (Type 2)
Issued: Dec 28, 2020
Last updated: Dec 30, 2020
Status: Active
Subpart: Yes of Faith Behavioral Health Group, LLC

Other names

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Faith Behavioral Health Group, LLC · doing business as
Faith Behavioral Health Group, LLC · doing business as

Authorized official

Mrs. Mary K Kiilu, RN
Official
(909) 441-9520

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About NPI 1194312876

Faith Behavioral Health Group, LLC's National Provider Identifier is 1194312876, issued on Dec 28, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Goodyear, AZ. The record was last updated on Dec 30, 2020.