Organization
THE HERITAGE BEHAVIORAL HEALTH HOME LLC
Active
Organization
THE HERITAGE BEHAVIORAL HEALTH HOME LLC
Active
Parent organization
THE HERITAGE BEHAVIORAL HEALTH HOME LLC
Other names
The Heritage Behavioral Health Home ll
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HERITAGE BEHAVIORAL HEALTH HOME LLC
Authorized official
JULIA SMITH-DORSEY (CEO)
(973) 452-2505
Entity
Organization
Contact information
Practice address
3927 W ROVEY AVE, PHOENIX, AZ 85019-1633
(973) 452-2505
Mailing address
3927 W ROVEY AVE, PHOENIX, AZ 85019-1633
(973) 452-2505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
06/13/2022
Last updated
08/12/2024
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