Provider Demographics
NPI:1851083240
Name:MILESTONE BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:MILESTONE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MUGISHA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:480-486-3953
Mailing Address - Street 1:3921 E BASELINE RD STE 112
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2731
Mailing Address - Country:US
Mailing Address - Phone:480-664-9700
Mailing Address - Fax:480-572-0078
Practice Address - Street 1:3921 E BASELINE RD STE 112
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2731
Practice Address - Country:US
Practice Address - Phone:480-664-9700
Practice Address - Fax:480-572-0078
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPRINGS GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health