Overview
Name: PROVIDENCE BEHAVIORAL HEALTH LLC
Specialty: Mental Illness Community Based Residential Treatment Facility
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Residential Treatment Facilities
Classification: Community Based Residential Treatment Facility, Mental Illness
Specialization: .
Definition of Specialty: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: PROVIDENCE BEHAVIORAL HEALTH LLC,8714 W PIONEER ST,TOLLESON,AZ,853538618,US
Mailing Address: PROVIDENCE BEHAVIORAL HEALTH LLC,8714 W PIONEER ST,TOLLESON,AZ,853538618,US
Contact #
Practice location phone #: 6026282266
Practice location fax #:
Mailing address Phone #: 6026282266
Mailing Address fax #:
Authorized official Name/Telephone #:FUNMILOLA, ELIZABETH-TOSIN, OGUNLA, DIRECTOR 6026282266
Misc
Date NPI was obtained: 04/05/2022
Last data data was updated: 04/05/2022
Insurances: