Organization
DESERT ANGELS BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN AWOSIKA (OWNER/ADMINISTRATOR)
(480) 494-1419
Entity
Organization
Contact information
Practice address
20148 N DONITHAN WAY, MARICOPA, AZ 85138-2428
(480) 494-1419
(800) 758-1538
Mailing address
25210 S WYOMING AVE, SUN LAKES, AZ 85248-6408
(480) 494-1419
(800) 758-1538
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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