NPI | 1801395876 |
---|---|
Doing Business As | FAITH BEHAVIORAL HEALTH GROUP LLC |
Entity Type | Organization |
Authorized Contact | MARY KIILU Registered Nurse 909-441-9520 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5359) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2020-12-30 |