Healthcare Provider Details

I. General information

NPI: 1083087134
Provider Name (Legal Business Name): BETTER HOMES BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2015
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4324 E FRIESS DR
PHOENIX AZ
85032-5802
US

IV. Provider business mailing address

10425 W COLTER ST
GLENDALE AZ
85307-4194
US

V. Phone/Fax

Practice location:
  • Phone: 602-790-8487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberBH4899
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License NumberBH4899
License Number StateAZ

VIII. Authorized Official

Name: MR. STERLING BRIDGES
Title or Position: PRESIDENT
Credential:
Phone: 602-790-8487