Organization
DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE, LLC 7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FUNSO FEYI OGUNLA (DIRECTOR)
(602) 384-8820
Entity
Organization
Contact information
Practice address
9915 W WIER AVE, TOLLESON, AZ 85353-4429
(602) 384-8820
Mailing address
2911 S 87TH DR # A, TOLLESON, AZ 85353-8650
(602) 384-8820
(877) 288-1996
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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