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Organization
BEHAVIORAL HEALTHCARE SUPPORT SERVICES OF ARIZONA LLC
Active
Organization
BEHAVIORAL HEALTHCARE SUPPORT SERVICES OF ARIZONA LLC
Active
Other names
BHSSAZ
Organization subpart
No
Provider details
NPI number
Authorized official
USAJU LUGOGO (GM)
(480) 330-5012
Entity
Organization
Contact information
Practice address
333 N DOBSON RD STE 134, CHANDLER, AZ 85224-4412
(480) 330-5012
Mailing address
PO BOX 522, CHANDLER, AZ 85244-0522
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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