DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 5 NPI 1265949861

NPI Information

NPI: 1265949861
Provider Name: DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 5
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
10313 W HESS STREET
TOLLESON, AZ
ZIP 85353
Phone: (602) 384-8820
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DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 5 is a community based residential treatment facility mental illness in Tolleson, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 5 NPI is 1265949861. The provider is registered as an organization entity type.

The provider's business location address is:

10313 W HESS STREET
TOLLESON, AZ
ZIP 85353
Phone: (602) 384-8820
Fax: (623) 435-6566

The provider's authorized official is Funso Feyi Ogunla .
The authorized official title is Program Director and has the following contact phone number (602) 384-8820.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 1/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH5356	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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