Organization
TESTIMONY BEHAVIORAL HEALTH RESIDENTIAL LLC
Active
Organization
TESTIMONY BEHAVIORAL HEALTH RESIDENTIAL LLC
Active
Other names
Testimony Behavioral Health Residential LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MOJAMA FATOMA (CEO/OWNER)
(623) 383-3759
Entity
Organization
Contact information
Practice address
1110 E GLENN DR, PHOENIX, AZ 85020-5347
(623) 383-3759
Mailing address
11770 W DAVIS LN, AVONDALE, AZ 85323-7695
(623) 383-3759
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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