Organization
BANJUL HARVEY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIET BAVUGA RN (CLINICAL MANAGER)
(650) 420-9888
Entity
Organization
Contact information
Practice address
3933 E EDNA AVE, PHOENIX, AZ 85032-2127
(650) 420-9888
Mailing address
3933 E EDNA AVE, PHOENIX, AZ 85032-2127
(650) 420-9888
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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