Organization
BBC SCOTTSDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT JOHNSTON (EXECUTIVE DIRECTOR)
(480) 660-5775
Entity
Organization
Contact information
Practice address
808 N 74TH ST, SCOTTSDALE, AZ 85257-4310
(480) 660-5775
(480) 660-5775
Mailing address
3320 W CHERYL DR STE B120, PHOENIX, AZ 85051-9560
(480) 660-5775
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
12/17/2024
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