Provider Demographics
NPI:1609667013
Name:ALYZION PSYCHIATRIC CARE
Entity type:Organization
Organization Name:ALYZION PSYCHIATRIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BAFFOUR
Authorized Official - Middle Name:KOFI
Authorized Official - Last Name:GYAMFI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-PMHNP
Authorized Official - Phone:920-542-6294
Mailing Address - Street 1:N922 TOWER VIEW DR STE 102
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54942-8093
Mailing Address - Country:US
Mailing Address - Phone:920-542-6294
Mailing Address - Fax:
Practice Address - Street 1:1522 S DANIELSON WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-1552
Practice Address - Country:US
Practice Address - Phone:920-542-6294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty