Provider Demographics
NPI:1447921242
Name:KARIMA BEHAVIORAL HEALTHCARE
Entity type:Organization
Organization Name:KARIMA BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATMATA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-414-9716
Mailing Address - Street 1:10432 W GRANADA RD
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-4743
Mailing Address - Country:US
Mailing Address - Phone:623-414-9716
Mailing Address - Fax:
Practice Address - Street 1:10432 W GRANADA RD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-4743
Practice Address - Country:US
Practice Address - Phone:623-414-9716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health