| Bbc Scottsdale Llc | |
|
4444 W Shaw Butte Dr Glendale AZ 85304-3035 | |
| (480) 660-5775 | |
| Not Available |
| Full Name | Bbc Scottsdale Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 4444 W Shaw Butte Dr, Glendale, Arizona |
| Authorized Official Name and Position | Brent Johnston (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4806605775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbc Scottsdale Llc 3320 W Cheryl Dr Ste B120 Phoenix AZ 85051-9560 Ph: (480) 660-5775 | Bbc Scottsdale Llc 4444 W Shaw Butte Dr Glendale AZ 85304-3035 Ph: (480) 660-5775 |
| NPI Number | 1396329157 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396329157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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