Individual
EBRIMA BAYOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10909 W ADAMS ST, AVONDALE, AZ 85323-6895
(623) 330-0184
(623) 399-8672
Mailing address
17185 W HAMMOND ST, GOODYEAR, AZ 85338-7572
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH8444
AZ
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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