Organization
BLACK BERRY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NGURE (OWNER)
(480) 840-4879
Entity
Organization
Contact information
Practice address
5913 S ARIZONA PL, CHANDLER, AZ 85249-2416
(480) 840-4879
Mailing address
951 W SARAGOSA ST, CHANDLER, AZ 85225-6856
(480) 840-4879
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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