Healthcare Provider Details

I. General information

NPI: 1467305185
Provider Name (Legal Business Name): DIGNITY HEALTH BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 E GLASS LN
PHOENIX AZ
85042-5819
US

IV. Provider business mailing address

1314 E GLASS LN
PHOENIX AZ
85042-5819
US

V. Phone/Fax

Practice location:
  • Phone: 480-980-9729
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NELLIE NJUE
Title or Position: CEO
Credential:
Phone: 480-980-9729