Organization
IBHA HOME CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARAS COLLUM SR. (DIRECTOR)
(702) 235-5650
Entity
Organization
Contact information
Practice address
2016 E DANBURY RD, PHOENIX, AZ 85022-2298
(602) 795-8336
(619) 374-7150
Mailing address
2016 E DANBURY RD, PHOENIX, AZ 85022-2298
(602) 795-8336
(619) 374-7150
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-3341
AZ
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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