Provider Demographics
NPI:1073138673
Name:HIGHTOWER BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:HIGHTOWER BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IFIOK
Authorized Official - Middle Name:
Authorized Official - Last Name:UMOREN
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:623-444-5989
Mailing Address - Street 1:13206 W CRESTVALE DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-5496
Mailing Address - Country:US
Mailing Address - Phone:623-444-5989
Mailing Address - Fax:
Practice Address - Street 1:13206 W CRESTVALE DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-5496
Practice Address - Country:US
Practice Address - Phone:623-444-5989
Practice Address - Fax:623-444-2427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility