Provider Demographics
NPI:1326374760
Name:DESERT ANGELS BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:DESERT ANGELS BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YAUNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:AWOSIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-283-4152
Mailing Address - Street 1:1001 E PLAYA DEL NORTE DR
Mailing Address - Street 2:APT 1203
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2176
Mailing Address - Country:US
Mailing Address - Phone:480-283-4152
Mailing Address - Fax:
Practice Address - Street 1:1001 E PLAYA DEL NORTE DR
Practice Address - Street 2:APT 1203
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2176
Practice Address - Country:US
Practice Address - Phone:480-283-4152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child