Organization
BETHEL HILLS INTEGRATED HEALTHCARE
Active
Other names
Bethel Hills Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUKOLA KOMOLAFE DNP (MEDICAL DIRECTOR)
(832) 542-3181
Entity
Organization
Contact information
Practice address
13838 S 46TH PL STE 340, PHOENIX, AZ 85044-7805
(480) 597-7903
(480) 597-7903
Mailing address
13838 S 46TH PL STE 340, PHOENIX, AZ 85044-7805
(480) 597-7903
(480) 597-7903
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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