Organization
BACKED BY GOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENESHA GRIFFITH (PRESIDENT)
(323) 841-1541
Entity
Organization
Contact information
Practice address
10983 W SHERIDAN ST, AVONDALE, AZ 85392-5884
(323) 841-1541
Mailing address
10983 W SHERIDAN ST, AVONDALE, AZ 85392-5884
(323) 841-1541
(323) 841-1541
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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