Organization
JAYLA HOME BEHAVIORAL HEALTH LLC
Active
Other names
WOOD HOME
Organization subpart
No
Provider details
NPI number
Authorized official
KANDI AMISI (ADMINISTRATOR)
(208) 389-8458
Entity
Organization
Contact information
Practice address
10620 W WOOD ST, TOLLESON, AZ 85353-5427
(208) 389-8458
Mailing address
3316 S 78TH LN, PHOENIX, AZ 85043-1261
(208) 389-8458
(208) 389-8458
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20082
BHRF
AZ
Enumeration date
10/15/2025
Last updated
11/02/2025
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