Provider Demographics
NPI:1528642345
Name:HIGHTOWER BEHAVIORAL HEALTH SERVICES II
Entity type:Organization
Organization Name:HIGHTOWER BEHAVIORAL HEALTH SERVICES II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IFIOK
Authorized Official - Middle Name:
Authorized Official - Last Name:UMOREN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:623-444-5466
Mailing Address - Street 1:13231 W CREOSOTE DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-7843
Mailing Address - Country:US
Mailing Address - Phone:623-444-5466
Mailing Address - Fax:
Practice Address - Street 1:13231 W CREOSOTE DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-7843
Practice Address - Country:US
Practice Address - Phone:623-444-5989
Practice Address - Fax:623-444-2427
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGHTOWER BEHAVIORAL HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-07
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility