Organization
BAYOH BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBRIMA BAYOH (CEO)
(623) 330-0184
Entity
Organization
Contact information
Practice address
6926 S 12TH PL, PHOENIX, AZ 85042-5697
(623) 330-0184
Mailing address
15270 W TAYLOR ST, GOODYEAR, AZ 85338-4115
(623) 330-0184
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
—
BH7443
ADHS
AZ
Enumeration date
03/22/2022
Last updated
03/22/2022
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