NPI | 1821765207 |
---|---|
Doing Business As | DUTIFUL ANGELS BEHAVIORAL CLINIC |
Entity Type | Organization |
Authorized Contact | CRAIG DUERSON Administrator 602-880-1851 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-08-24 |
Last Update Date | 2022-06-10 |