DIVINE HEART LLC NPI 1902567084

NPI Information

NPI: 1902567084
Provider Name: DIVINE HEART LLC

Doing Business As: DIVINE HEART BEHAVIORAL CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1650 W SOUTHERN AVE STE 3
PHOENIX, AZ
ZIP 85041
Phone: (520) 208-1970
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DIVINE HEART LLC is a mental health (including community mental health center) clinic center in Phoenix, AZ. DIVINE HEART LLC NPI is 1902567084. The provider is registered as an organization entity type.
The provider Is Doing Business As Divine Heart Behavioral Center.

The provider's business location address is:

1650 W SOUTHERN AVE STE 3
PHOENIX, AZ
ZIP 85041-627
Phone: (520) 208-1970

The provider's authorized official is Forster Okoli .
The authorized official title is Chief Executive Officer and has the following contact phone number (520) 208-1970.

The enumeration date for this NPI number is 1/1/2022 and was last updated on 3/14/2023.

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	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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