Provider Demographics
NPI:1790064152
Name:BETTER HORIZONS BEHAVIOARAL HEALTH
Entity Type:Organization
Organization Name:BETTER HORIZONS BEHAVIOARAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARISSE
Authorized Official - Middle Name:YOLLANDE
Authorized Official - Last Name:KUISSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-400-7764
Mailing Address - Street 1:2184 E. FIRESTONE DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249
Mailing Address - Country:US
Mailing Address - Phone:480-634-4974
Mailing Address - Fax:
Practice Address - Street 1:2184 E. FIRESTONE DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249
Practice Address - Country:US
Practice Address - Phone:480-634-4974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH3876320800000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility