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Ayobami Noheem Agoro, CEO
Mental Illness Community Based Residential Treatment Facility in Avondale, Arizona
NPI 1649878687

Ayobami Noheem Agoro is a Mental Illness Community Based Residential Treatment Facility based in Avondale, AZ. Ayobami Noheem Agoro practices in Avondale, AZ and has the professional credentials of CEO. The NPI Number for Ayobami Noheem Agoro is 1649878687 and holds a License No. (Arizona).

The current practice location address for Ayobami Noheem Agoro is 12362 W Joblanca Rd, Avondale, AZ and can be reached out via phone at 202-290-7492.

Location: 12362 W Joblanca Rd, Avondale, AZ, 85323-3130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649878687
Provider Name
Ayobami Noheem Agoro
Credential
CEO
Provider Entity Type
Individual
Gender
Male
Address
12362 W Joblanca Rd, Avondale, AZ, 85323-3130
Phone Number
202-290-7492
Fax Number
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00 01 N/A
institution
Provider Business Practice Location Address Details
Address
12362 W Joblanca Rd
City
Avondale
State
Arizona
Zip
85323-3130
Phone Number
202-290-7492
Fax Number
person
Provider Business Mailing Address Details
Address
12362 W Joblanca Rd
City
Avondale
State
Arizona
Zip
85323-3130
Phone Number
202-290-7492
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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