| NPI | 1891418224 |
|---|---|
| Doing Business As | BHSSAZ |
| Entity Type | Organization |
| Authorized Contact | USAJU LUGOGO Gm 480-330-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |