# BETHEL HOUSE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154866853
- **Authorized official:** KOFFI SEDDO (ADMINISTRATOR)
- **Authorized official phone:** (520) 891-0081

## Contact information

- **Practice address:** 9820 E PASEO SAN BERNARDO, TUCSON, AZ 85747-5022
- **Practice address phone:** (520) 891-0081
- **Practice address fax:** (520) 344-8892
- **Mailing address:** 994 S HARRISON RD, TUCSON, AZ 85748-6608
- **Mailing address phone:** (520) 721-1887
- **Mailing address fax:** (520) 344-8892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | BH5068 | AZ | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 01/04/2017