DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC NPI 1356843544

NPI Information

DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC is a substance abuse rehabilitation facility in Goodyear, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC NPI is 1356843544. The provider is registered as an organization entity type.

The provider's business location address is:

16040 W VOGEL AVE
GOODYEAR, AZ
ZIP 85338-571
Phone: (623) 932-5986

The provider's authorized official is Lucas Olatunde .
The authorized official title is Owner/administrator and has the following contact phone number (623) 932-5986.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 3/2/2018.

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:

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