ANGEL HEART BEHAVIORAL HEALTH V , LLC
NPI 1295323095
Community Based Residential Treatment Facility, Mental Illness in Tolleson, AZ
- Organization
- Community Based Residential Treatment Fa...
About ANGEL HEART BEHAVIORAL HEALTH V , LLC
This page provides the complete NPI Profile along with additional information for Angel Heart Behavioral Health V , Llc, a provider established in Tolleson, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1295323095 assigned on January 2021. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Eric Nibizi Sr. (Ceo)
- NPI
- 1295323095 Verify this NPI
- Provider Name
- ANGEL HEART BEHAVIORAL HEALTH V , LLC
- Entity Type
- Organization
- Location Address
- 3909 S 103RD DR TOLLESON, AZ 85353
- Location Phone
- (207) 409-6515
- Mailing Address
- 3909 S 103RD DR TOLLESON, AZ 85353
- Mailing Phone
- (207) 409-6515
- Mailing Fax
- (623) 777-0082
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-06-2021
- Last Update Date
- 01-06-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295323095, enumerated as an "organization" on January 06, 2021.
The provider is located at 3909 S 103RD DR TOLLESON, AZ 85353 and the phone number is (207) 409-6515.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
