Organization · NPI-2

Angel Heart Behavioral Health II LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Phoenix, AZ

NPI number1023655040
StatusActive
Last updated in NPPESDec 9, 2019

Details

NPI
1023655040
Entity type
Organization (NPI-2)
Legal business name
Angel Heart Behavioral Health II LLC
Organization subpart
No
Enumeration date
Dec 9, 2019
Certification date
Dec 9, 2019
Last updated
Dec 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Other names

  • Angel Heart Behavioral Health II LLC (Doing Business As)

Practice location

7432 W Glenrosa Ave
Phoenix, AZ 85033-2518

Phone 207-409-6515

Mailing address

7432 W Glenrosa Ave
Phoenix, AZ 85033-2518

Phone 207-409-6515

Authorized official

Aimee Nyirakanyana
Ceo
2074096515

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