Dajusha Incorporation in Glendale - Community Based Residential Treatment Facility, Mental Illness
Dajusha Incorporation - NPI 1891975553
Dajusha Incorporation is a Community Based Residential Treatment Facility, Mental Illness in Glendale, Arizona. Dajusha Incorporation practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Dajusha Incorporation is 1891975553. The last update date is 2007-11-10.
Dajusha Incorporation's current location address is Po Box 5698, Glendale, Arizona. You can contact this provider via phone number 6238460420 and fax number 6232470968. The mailing address for Dajusha Incorporation is Po Box 5698, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dajusha Incorporation |
|---|---|
| Address | Po Box 5698, Glendale, Arizona |
| Phone Number | 6238460420 |
| Fax Number | 6232470968 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Young Lynn Brigitt |
| Telephone Number | 6238460420 |
NPI Number Detail
| NPI Number | 1891975553 |
|---|---|
| Provider Enumeration Date | 2007-11-10 |
| Last Updated Date | 2007-11-10 |
Provider Mailing Address Detail
| Address | Po Box 5698 |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853125698 |
| Phone Number | 6238460420 |
| Fax Number | 6232470968 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | BH2952 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Dajusha Incorporation?
The Dajusha Incorporation has been issued the NPI (National Provider Identifier) 1891975553 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Dajusha Incorporation is physically located?
The Dajusha Incorporation is situated at the following address: Po Box 5698, Glendale, AZ 853125698.
What is the Dajusha Incorporation's specialty and taxonomy code?
The Dajusha Incorporation's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
When did Dajusha Incorporation receive its 1891975553 assignment?
The Dajusha Incorporation was assigned its 1891975553 on 2007-11-10, which is the date when this unique identifier was issued to the organization.
As of what date were the Dajusha Incorporation's details last updated?
The information pertaining to the Dajusha Incorporation, including its address, specialty, and other details, was most recently updated on 2007-11-10.