Provider Demographics
NPI:1467174482
Name:H2H BEHAVIORAL HEALTH TREATMENT CENTER LLC
Entity Type:Organization
Organization Name:H2H BEHAVIORAL HEALTH TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESPERANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAPENDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-630-1715
Mailing Address - Street 1:7145 N 57TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-2561
Mailing Address - Country:US
Mailing Address - Phone:949-630-1715
Mailing Address - Fax:
Practice Address - Street 1:7145 N 57TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-2561
Practice Address - Country:US
Practice Address - Phone:949-630-1715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZNAMedicaid