Organization
ANGEL HEART BEHAVIORAL HEALTH V , LLC
Active
Other names
ANGEL HEART BEHAVIORAL HEALTH V
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC NIBIZI SR. (CEO)
(207) 409-6515
Entity
Organization
Contact information
Practice address
3909 S 103RD DR, TOLLESON, AZ 85353-4187
(207) 409-6515
Mailing address
3909 S 103RD DR, TOLLESON, AZ 85353-4187
(207) 409-6515
(623) 777-0082
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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