Organization
BBC GRACEFUL HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE UHLEMANN LPC (CLINICAL DIRECTOR)
(602) 626-8112
Entity
Organization
Contact information
Practice address
808 N 74TH ST, SCOTTSDALE, AZ 85257-4310
(602) 626-8112
(602) 297-6758
Mailing address
808 N 74TH ST, SCOTTSDALE, AZ 85257-4310
(602) 626-8112
(602) 297-6758
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4859
AZ
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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