NPI 1114552122
Angel Heart Behavioral Health III LLC
Practice location
- Address
- 9223 W Meadow Brook 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503
- Phone
- (207) 409-6515
- Mailing address
- 9223 W Meadowbrook Ave, Phoenix, AZ 85037-2442
Authorised official
- Name
- Aimee Nyirakanyana
- Title
- Program Operating Officer
- Phone
- (623) 777-0427
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1114552122
- Entity type
- Organization
- NPI issued
- 10 Mar 2020
- Record last updated
- 10 Mar 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.