| De Blessed Behavioral Care | |
|
17563 W Maricopa St Goodyear AZ 85338-4702 | |
| (480) 465-6259 | |
| Not Available |
| Full Name | De Blessed Behavioral Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17563 W Maricopa St, Goodyear, Arizona |
| Authorized Official Name and Position | Olamide Adeniyi (OWNER) |
| Authorized Official Contact | 4804656259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Blessed Behavioral Care 17563 W Maricopa St Goodyear AZ 85338-4702 Ph: (480) 465-6259 | De Blessed Behavioral Care 17563 W Maricopa St Goodyear AZ 85338-4702 Ph: (480) 465-6259 |
| NPI Number | 1205592987 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205592987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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