NPI 1043816572

Angie's LLC

Organisation Mental Illness Community Based Residential Treatment Facility Goodyear, AZ

Practice location

Address: 16796 W Pierce St, Goodyear, AZ 85338-6167
Phone: (623) 215-2767
Fax: (623) 215-2927

Authorised official

Name: Mireille Mukiza
Title: Cao
Phone: (623) 792-0191

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Arizona →

Registry record

NPI: 1043816572
Entity type: Organization
NPI issued: 9 Dec 2020
Record last updated: 9 Dec 2020

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.