Jezzob Behavioral Health, LLC
Psychiatric Residential Treatment Facility in Tolleson, AZ. Organization (NPI-2).
NPI number1497526263
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1497526263
- Entity type
- Organization (NPI-2)
- Legal business name
- Jezzob Behavioral Health, LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2024
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
Practice location
4110 S 97th AveTolleson, AZ 85353-5709
Phone 602-521-2351 · Fax 480-718-8860
Mailing address
4918 W Apollo RdLaveen, AZ 85339-6289
Phone 602-521-2351 · Fax 480-718-8860
Authorized official
Zebedee Yong
Ceo/Facility Administrator
6025212351
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