Organization
FAITH BEHAVIORAL HEALTH GROUP, LLC
Active
Organization
FAITH BEHAVIORAL HEALTH GROUP, LLC
Active
Parent organization
FAITH BEHAVIORAL HEALTH GROUP, LLC
Other names
FAITH BEHAVIORAL HEALTH GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAITH BEHAVIORAL HEALTH GROUP, LLC
Authorized official
MRS. MARY K KIILU RN (OFFICIAL)
(909) 441-9520
Entity
Organization
Contact information
Practice address
17870 W BUCHANAN ST, GOODYEAR, AZ 85338-2582
(623) 600-8822
(623) 600-8822
Mailing address
17870 W BUCHANAN ST, GOODYEAR, AZ 85338-2582
(623) 600-8822
(623) 600-8822
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/30/2020
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