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FJCM BEHAVIORAL HEALTHCARE NPI 1861932048


NPI Information

NPI: 1861932048
Provider Name: FJCM BEHAVIORAL HEALTHCARE

Doing Business As: FJCM GROUP LLC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2710 E VALENCIA DR
PHOENIX, AZ
ZIP 85042
Phone: (602) 268-7024
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FJCM BEHAVIORAL HEALTHCARE is a substance abuse rehabilitation facility in Phoenix, 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. FJCM BEHAVIORAL HEALTHCARE NPI is 1861932048. The provider is registered as an organization entity type.
The provider Is Doing Business As Fjcm Group Llc.

The provider's business location address is:

2710 E VALENCIA DR
PHOENIX, AZ
ZIP 85042-081
Phone: (602) 268-7024

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

The enumeration date for this NPI number is 3/7/2017 and was last updated on 3/7/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness320800000XARIZONANo
2324500000XSubstance Abuse Rehabilitation Facility32450000XARIZONAYes

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

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