Organization
ANGELIC BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NDUNGU (MANAGER)
(602) 888-6779
Entity
Organization
Contact information
Practice address
7932 W HILTON AVE, PHOENIX, AZ 85043-7418
(602) 888-6779
(312) 610-5767
Mailing address
7932 W HILTON AVE, PHOENIX, AZ 85043-7418
(602) 888-6779
(312) 610-5767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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