Provider Demographics
NPI:1992330104
Name:TOUCH ANGELS BEHAVIOR HEALTH LLC
Entity type:Organization
Organization Name:TOUCH ANGELS BEHAVIOR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-AKYEAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-616-0133
Mailing Address - Street 1:5045 S TATUM LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-0511
Mailing Address - Country:US
Mailing Address - Phone:480-616-0133
Mailing Address - Fax:
Practice Address - Street 1:30546 N EDWARDS RD
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85143-9100
Practice Address - Country:US
Practice Address - Phone:480-616-0133
Practice Address - Fax:480-616-0132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZBH6085Medicaid