# ANGEL HEART BEHAVIORAL HEALTH III LLC

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

## Provider details

- **NPI number:** 1114552122
- **Authorized official:** AIMEE NYIRAKANYANA (PROGRAM OPERATING OFFICER)
- **Authorized official phone:** (623) 777-0427

## Contact information

- **Practice address:** 9223 W MEADOW BROOK, 9223 W MEADOW BROOK AVE, PHOENIX, AZ 85037-8503
- **Practice address phone:** (207) 409-6515
- **Mailing address:** 9223 W MEADOWBROOK AVE, PHOENIX, AZ 85037-2442
- **Mailing address phone:** (207) 409-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2020
- **Last updated:** 03/10/2020