| NPI | 1194390252 |
|---|---|
| Former Legal Business Name | DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 8 |
| Entity Type | Organization |
| Authorized Contact | FUNSO FEYI OGUNLA Director 602-384-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |