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Organization

JOYFUL BEHAVIORAL HEALTH RESIDENTIAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OHUNRERETUNDE J ADEBOLA (CEO)
(602) 476-4616
Entity
Organization

Contact information

Practice address
16274 W SUPERIOR AVE, GOODYEAR, AZ 85338-3535
(602) 476-4616
Mailing address
16274 W SUPERIOR AVE, GOODYEAR, AZ 85338-3535
(602) 476-4204

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BH5725
AZ
Enumeration date
04/12/2019
Last updated
04/12/2019
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