Organization
HOUSE OF HOPE BEHAVIORAL HEALTH LLC
Active
Organization
HOUSE OF HOPE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA DIAZ (ADMINISTRATOR)
(520) 709-1586
Entity
Organization
Contact information
Practice address
1297 E AVENIDA KINO., CASA GRANDE, AZ 85122-1011
(520) 709-1586
(602) 325-0405
Mailing address
65 N POTTEBAUM RD., CASA GRANDE, AZ 85122-5326
(602) 618-3756
(602) 325-0405
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/28/2024
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