Organization
HEARTH HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVA YOLANDE HECTOR B.SC/BHT (ADMINISTRATOR)
(602) 218-8860
Entity
Organization
Contact information
Practice address
4435 E PHELPS RD, PHOENIX, AZ 85032-2822
(602) 218-8860
(602) 218-8860
Mailing address
4435 E PHELPS RD, PHOENIX, AZ 85032-2822
(602) 218-8860
(602) 218-8860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH5132
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
BH5132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH5132
—
AZ
Enumeration date
03/31/2017
Last updated
03/31/2017
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