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MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2 NPI 1396253514


NPI Information

NPI: 1396253514
Provider Name: MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
9010 N 63RD DR
GLENDALE, AZ
ZIP 85302
Phone: (623) 328-5688
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MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2 is a community behavioral health in Glendale, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2 NPI is 1396253514. The provider is registered as an organization entity type.

The provider's business location address is:

9010 N 63RD DR
GLENDALE, AZ
ZIP 85302-031
Phone: (623) 328-5688
Fax: (623) 328-5688

The provider's authorized official is Deogratias Baransaka .
The authorized official title is Administrator and has the following contact phone number (623) 760-8378.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 1/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthBH5344ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.