National Provider Identifier Database

DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 5
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 5
10313 W HESS STREET
TOLLESON, AZ85353
Phone: 602-384-8820
Fax: 623-435-6566
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 5

NPI Number 1265949861
Legal business name
LBN
DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 5
Authorized official FUNSO OGUNLA - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/04/2018
Last updated 01/04/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH5356

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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