Organization · Type 2 NPI
Destiny Behavioral Health Residential Care LLC 5
Mental Illness Community Based Residential Treatment Facility · Tolleson, AZ
NPI number
1265949861
Active
Practice location
10313 W Hess Street
Tolleson, AZ 85353
Fax (623) 435-6566
Mailing address
2911 South 87th Drive
Tolleson, AZ 85353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH5356 (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 1265949861
Destiny Behavioral Health Residential Care LLC 5's National Provider Identifier is 1265949861, issued on Jan 4, 2018. 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 Jan 4, 2018.