| NPI | 1114552122 |
|---|---|
| Doing Business As | ANGEL HEART BEHAVIORAL HEALTH III LLC |
| Entity Type | Organization |
| Authorized Contact | AIMEE NYIRAKANYANA Program Operating Officer 623-777-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |