DIGNITY BEHAVIORAL HEALTH RESIDENTIAL; NPI #1689330581

Contact Information

DIGNITY BEHAVIORAL HEALTH RESIDENTIAL

10817 W CASSIA WAY
PHOENIX, AZ 85037

Phone: 480-466-3852
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Mental Illness	320800000X

Indicates primary specialty

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NPI Profile & details for DIGNITY BEHAVIORAL HEALTH RESIDENTIAL

NPI #	`1689330581`
LBN Legal business name	DIGNITY BEHAVIORAL HEALTH RESIDENTIAL
Authorized official	PELAGIE MAOMBI - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/15/2021
Last updated	11/15/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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