Organization
EXCELLENT BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KIMANL (OWNER)
(732) 322-1807
Entity
Organization
Contact information
Practice address
10926 S 56TH LN, LAVEEN, AZ 85339-5708
(732) 322-1807
Mailing address
10926 S 56TH LN, LAVEEN, AZ 85339-5708
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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