Provider Demographics
NPI:1265090518
Name:BEHAVIORAL HEALTH PROGRAMS
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH PROGRAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:KANUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-315-9225
Mailing Address - Street 1:PO BOX 9296
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92652-7261
Mailing Address - Country:US
Mailing Address - Phone:949-313-5240
Mailing Address - Fax:949-313-5240
Practice Address - Street 1:154 HUNTSVILLE RD
Practice Address - Street 2:
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-9730
Practice Address - Country:US
Practice Address - Phone:949-313-5224
Practice Address - Fax:949-313-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-02
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility