Organization
DESERT WINDS BEHAVIORAL HEALTH LLC
Active
Organization
DESERT WINDS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMELIA IGNA PROGRAM DIRECTOR/ADM (PROGRAM DIRECTOR/ADMINISTRATOR)
(623) 879-0168
Entity
Organization
Contact information
Practice address
6127 W. WESTWIND DR., GLENDALE, AZ 85310
(623) 879-0168
(623) 879-0168
Mailing address
6127 W. WESTWIND DR., GLENDALE, AZ 85310
(623) 879-0168
(623) 879-0168
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
BH3092
AZ
251K00000X
Public Health or Welfare Agency
BH3092
AZ
251S00000X
Community/Behavioral Health Agency
BH3092
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-3092
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
BH3092
AZ
385HR2055X
Child Mental Illness Respite Care
BH3092
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
486880
AHCCCS
AZ
Enumeration date
01/08/2009
Last updated
01/28/2010
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