| NPI | 1114511037 |
|---|---|
| Other Name | DESTINY SPRINGS HEALTHCARE, LLC |
| Entity Type | Organization |
| Authorized Contact | DONNA NORIEGA CEO 623-233-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |