Organization
DIGNITY BEHAVIORAL HEALTH RESIDENTIAL, LLC
Active
Other names
Dignity Behavioral Health Residential
Organization subpart
No
Provider details
NPI number
Authorized official
PELAGIE MAOMBI (CEO)
(480) 466-3852
Entity
Organization
Contact information
Practice address
10817 W SAN JUAN AVE, PHOENIX, AZ 85037-5622
(320) 292-9088
Mailing address
10817 W SAN JUAN AVE, PHOENIX, AZ 85037-5622
(320) 292-9088
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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