Provider Demographics
NPI:1922793082
Name:T AND H BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:T AND H BEHAVIORAL HEALTH
Other - Org Name:T AND H BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:777-600-4302
Mailing Address - Street 1:3133 W SAINT KATERI DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6393
Mailing Address - Country:US
Mailing Address - Phone:602-675-3302
Mailing Address - Fax:
Practice Address - Street 1:3133 W SAINT KATERI DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6393
Practice Address - Country:US
Practice Address - Phone:602-675-3302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness