Organization
HEART TO HEART BEHAVIORAL HEALTH GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN J BUNDU RN, MSN/PH (PROGRAM DIRECTOR)
(480) 977-9457
Entity
Organization
Contact information
Practice address
8535 W PALM LN, PHOENIX, AZ 85037-3902
(480) 977-9457
Mailing address
3555 N SAILBOAT LN, AVONDALE, AZ 85392-3620
(480) 977-9457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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