OrganizationActive
Testimony Behavioral Health Residential LLC
NPI 1427897438 · Developmental Disabilities Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1427897438
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mojama Fatoma, Ceo/Owner(623) 383-3759
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1110 E Glenn Dr
Phoenix, AZ 85020-5347
Phone: (623) 383-3759
Approximate (ZIP-level) locationGet directions
Mailing address
11770 W Davis Ln
Avondale, AZ 85323-7695
Other names (DBA / former)
- Doing business as
- Testimony Behavioral Health Residential LLC
Registry dates
- Enumerated
- 2024-05-20
- Last updated
- 2024-05-20
- Certified
- 2024-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.