NPI 1023655040

Angel Heart Behavioral Health II LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Phoenix, AZ

Practice location

Address: 7432 W Glenrosa Ave, Phoenix, AZ 85033-2518
Phone: (207) 409-6515

Authorised official

Name: Aimee Nyirakanyana
Title: Ceo
Phone: (207) 409-6515

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1023655040
Entity type: Organization
NPI issued: 9 Dec 2019
Record last updated: 9 Dec 2019

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.