AYOBAMI N. AGORO CEO – NPI #1649878687
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
AYOBAMI AGORO is a community based residential treatment facility located in AVONDALE, AZ. NPPES has assigned the NPI number 1649878687 to AYOBAMI AGORO on October 13, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
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NPI Profile for
AYOBAMI N. AGORO
(more than 5 years ago)
AVONDALE, AZ 85323-3130 Phone: (202) 290-7492 Fax:
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Identifiers for AYOBAMI AGORO
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| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | N/A | 00 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
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- Endpoint Location
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12362 W JOBLANCA RD,
AVONDALE, AZ 77025-1669