NPI 1013634732
Ditabell Behavioral Health Care LLC
Practice location
- Address
- 3441 S 77th Ln, Phoenix, AZ 85043-1258
- Phone
- (480) 453-8343
- Mailing address
- 7821 S 46th Ln, Laveen, AZ 85339-2381
Authorised official
- Name
- Felix Mbenda Disso
- Title
- Ceo
- Phone
- (480) 453-8343
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1013634732
- Entity type
- Organization
- NPI issued
- 24 Oct 2022
- Record last updated
- 24 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.