| NPI | 1255960043 |
|---|---|
| Doing Business As | HEAVENLY BEHAVIORAL HOME LLC |
| Entity Type | Organization |
| Authorized Contact | MARIA CELIA DELA CRUZ Owner 623-235-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-09-28 |