Organization
DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE, LLC
Active
Other names
Destiny Behavioral Health Residential Care LLC 8
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FUNSO FEYI OGUNLA (DIRECTOR)
(602) 384-8820
Entity
Organization
Contact information
Practice address
10323 W ODEUM LN, TOLLESON, AZ 85353-4195
(623) 440-4126
(877) 288-1996
Mailing address
2911 S 87TH DR # A, TOLLESON, AZ 85353-8650
(602) 384-8820
(877) 288-1996
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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