Provider Demographics
NPI:1508212580
Name:BETTER HORIZONS LLC
Entity Type:Organization
Organization Name:BETTER HORIZONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARISSE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMGAING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-400-7764
Mailing Address - Street 1:3030 E SPORTS COURT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298
Mailing Address - Country:US
Mailing Address - Phone:480-634-4974
Mailing Address - Fax:
Practice Address - Street 1:3030 E SPORTS COURT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298
Practice Address - Country:US
Practice Address - Phone:480-634-4974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTER HORIZONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH4892320800000X
AZBH4891320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness