# ANGEL HEART BEHAVIORAL HEALTH II LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANGEL HEART BEHAVIORAL HEALTH II LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023655040
- **Authorized official:** AIMEE NYIRAKANYANA (CEO)
- **Authorized official phone:** (207) 409-6515

## Contact information

- **Practice address:** 7432 W GLENROSA AVE, PHOENIX, AZ 85033-2518
- **Practice address phone:** (207) 409-6515
- **Mailing address:** 7432 W GLENROSA AVE, PHOENIX, AZ 85033-2518
- **Mailing address phone:** (207) 409-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2019
- **Last updated:** 12/09/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | BH5941 | — | AZ |