Organization
B&B GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRINE CYUZUZO (ADMINISTRATOR)
(817) 350-9467
Entity
Organization
Contact information
Practice address
9418 W EATON RD, PHOENIX, AZ 85037-4273
(817) 350-9467
Mailing address
7206 N 73RD DR, GLENDALE, AZ 85303-2571
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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