Provider Demographics
NPI:1588182943
Name:ESPOIR BELIEVE HOME
Entity Type:Organization
Organization Name:ESPOIR BELIEVE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUBEKA
Authorized Official - Suffix:
Authorized Official - Credentials:BHT
Authorized Official - Phone:520-304-1401
Mailing Address - Street 1:9047 E MAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-5758
Mailing Address - Country:US
Mailing Address - Phone:520-304-1401
Mailing Address - Fax:520-546-7052
Practice Address - Street 1:9047 E MAYBERRY DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-5758
Practice Address - Country:US
Practice Address - Phone:520-304-1401
Practice Address - Fax:520-546-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH5165106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty