Organization
DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 4
Active
Organization
DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FUNSO FEYI OGUNLA (PROGRAM DIRECTOR)
(602) 384-8820
Entity
Organization
Contact information
Practice address
2911 S 87TH DR, TOLLESON, AZ 85353-8650
(623) 435-6566
Mailing address
8809 W PRESTON LN, TOLLESON, AZ 85353-6995
(623) 399-9226
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4694
AZ
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up