Organization
BEHAVIORAL HEALTHCARE SUPPORT SERVICES OF ARIZONA LLC
Active
Other names
BHSSAZ
Organization subpart
No
Provider details
NPI number
Authorized official
USAJU LUGOGO (GM)
(480) 330-5012
Entity
Organization
Contact information
Practice address
333 N DOBSON RD STE 134, CHANDLER, AZ 85224-4412
(480) 330-5012
Mailing address
PO BOX 522, CHANDLER, AZ 85244-0522
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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