# LOOKING FORWARD BEHAVIORAL HEALTH RESIDENTIAL FACILITY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710374442
- **Authorized official:** MRS. TANYA MARGUERITE AYIYI LPN (CEO)
- **Authorized official phone:** (602) 559-6033

## Contact information

- **Practice address:** 6202 W OREGON AVE, GLENDALE, AZ 85301-6632
- **Practice address phone:** (602) 559-6033
- **Practice address fax:** (623) 322-8622
- **Mailing address:** 6202 W OREGON AVE, GLENDALE, AZ 85301-6632
- **Mailing address phone:** (602) 559-6033
- **Mailing address fax:** (623) 322-8622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH4513 | AZ | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015