NPI | 1104581230 |
---|---|
Doing Business As | DIGNITY BEHAVIORAL HEALTH RESIDENTIAL |
Entity Type | Organization |
Authorized Contact | PELAGIE MAOMBI CEO 480-466-3852 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-11-03 |
Last Update Date | 2021-11-03 |