FJCM BEHAVIORAL HEALTH CARE LLC NPI 1487126686

NPI Information

NPI: 1487126686
Provider Name: FJCM BEHAVIORAL HEALTH CARE LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2710 E VALENCIA DR
PHOENIX, AZ
ZIP 85042
Phone: (602) 643-5723
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FJCM BEHAVIORAL HEALTH CARE LLC is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FJCM BEHAVIORAL HEALTH CARE LLC NPI is 1487126686. The provider is registered as an organization entity type.

The provider's business location address is:

2710 E VALENCIA DR
PHOENIX, AZ
ZIP 85042-081
Phone: (602) 643-5723
Fax: (602) 281-6742

The provider's authorized official is Faustin Bulongo Kapelemba .
The authorized official title is Co-owner and has the following contact phone number (602) 643-5723.

The enumeration date for this NPI number is 12/28/2018 and was last updated on 12/28/2018.

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	Primary
1	276400000X	Rehabilitation, Substance Use Disorder Unit	No
2	324500000X	Substance Abuse Rehabilitation Facility	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	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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