Organization
BETHEL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOFFI SEDDO (ADMINISTRATOR)
(520) 891-0081
Entity
Organization
Contact information
Practice address
9820 E PASEO SAN BERNARDO, TUCSON, AZ 85747-5022
(520) 891-0081
(520) 344-8892
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
(520) 344-8892
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH5068
AZ
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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