Dignity Behavioral Health
Community Based Residential Treatment Facility, Mental Illness in Maricopa, AZ. Organization (NPI-2).
NPI number1164067799
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1164067799
- Entity type
- Organization (NPI-2)
- Legal business name
- Dignity Behavioral Health
- Organization subpart
- No
- Enumeration date
- Nov 7, 2019
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
42796 W Oakland DrMaricopa, AZ 85138-1653
Phone 480-388-4906
Mailing address
20987 N John Wayne Pkwy # B104-289Maricopa, AZ 85139-2926
Phone 480-388-4906
Authorized official
John O'Neal
Manager
4803884906
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