Ditabell Behavioral Health Care LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

DITABELL BEHAVIORAL HEALTH CARE LLC

Practice address

3441 S 77TH LN
Phoenix, AZ 85043-1258

Phone

(480) 453-8343

NPI assigned

Oct 24, 2022

Organization subpart

No

Name

Mr. Felix Mbenda Disso

Title

Ceo

Phone

(480) 453-8343

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2022.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1013634732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7821 S 46TH LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392381",
            "telephone_number": "480-453-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 S 77TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431258",
            "telephone_number": "480-453-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITABELL BEHAVIORAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "DISSO",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "MBENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-453-8343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.