Provider Demographics
NPI:1033662549
Name:TOUCH ANGELS BEHAVIOR HEALTH LLC
Entity type:Organization
Organization Name:TOUCH ANGELS BEHAVIOR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-AKYEAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-350-9818
Mailing Address - Street 1:5045 S TATUM LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-0511
Mailing Address - Country:US
Mailing Address - Phone:480-616-0133
Mailing Address - Fax:480-616-0133
Practice Address - Street 1:5045 S TATUM LN
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-0511
Practice Address - Country:US
Practice Address - Phone:480-616-0133
Practice Address - Fax:480-616-0133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-01
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X, 320800000X, 324500000X
AZBH4923323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility