1514 BETHANY HOME MANAGEMENT, LLC

Mental Illness Community Based Residential Treatment Facility · PHOENIX, AZ

Organization Active NPI 1801369632

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Mental Illness Community Based Residential Treatment Facility320800000X
Case Management Agency251B00000X
Community/Behavioral Health Agency251S00000X
Assisted Living Facility (Mental Illness)3104A0625X
Mental Illness Intermediate Care Facility310500000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.