Organization
AZBH SERVICES LLC
Active
Other names
Copperleaf Home
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS ACOSTA (CEO)
(480) 434-5450
Entity
Organization
Contact information
Practice address
5224 S 22ND WAY, PHOENIX, AZ 85040-3401
(602) 579-5706
Mailing address
5224 S 22ND WAY, PHOENIX, AZ 85040-3401
(480) 434-5450
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/10/2024
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