EMBRACE HOPE BEHAVIORAL HEALTH


Address: 7707 W Kerby Ave, Phoenix, AZ 85043-1677
Phone: 6417811444

EMBRACE HOPE BEHAVIORAL HEALTH (NPI# 1184240731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184240731
Entity Type Organization
Organization Name EMBRACE HOPE BEHAVIORAL HEALTH
Other Organization Name EMBRACE HOPE BEHAVIORAL HEALTH
Practice Address 7707 W Kerby Ave
Phoenix
AZ 85043-1677
Practice Telephone 6417811444
Mailing Telephone 6417811444
Enumeration Date 2020-06-19
Last Update Date 2020-07-31
Authorized Official Name EDIDIONG EFFIONG (CEO)
Authorized Official Telephone 6417811444
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
EMBRACE HOPE BEHAVIORAL HEALTH Doing Business As Name - Organization

Office Location

Street Address 7707 W KERBY AVE
City PHOENIX
State AZ
Zip Code 85043-1677

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1821312877 Bertha Romero Case Manager/Care Coordinator 7315 W Jones Ave, Phx, AZ 85043 2010-03-19
1477705788 Patrick Lynn Perryman Psychologist 7250 W Buckeye Rd, Phoenix, AZ 85043 2008-10-17
1891910246 Sammie Trotter Technician 5025 S. 24th Ave, Phoenix, AZ 85043 2007-04-13
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City PHOENIX
Zip Code 85043

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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