Provider Demographics
NPI:1629754114
Name:BAYOH BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:BAYOH BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EBRIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-330-0184
Mailing Address - Street 1:17185 W HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-7572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10909 W ADAMS ST
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-6895
Practice Address - Country:US
Practice Address - Phone:623-330-0184
Practice Address - Fax:623-399-8672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness