Whalio Doctors

NPI 1154866853

Bethel House

Organisation Psychiatric Residential Treatment Facility Tucson, AZ

Practice location

Address
9820 E Paseo San Bernardo, Tucson, AZ 85747-5022
Phone
(520) 891-0081
Fax
(520) 344-8892
Mailing address
994 S Harrison Rd, Tucson, AZ 85748-6608

Authorised official

Name
Koffi Seddo
Title
Administrator
Phone
(520) 891-0081

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence BH5068 (AZ)

Registry record

NPI
1154866853
Entity type
Organization
NPI issued
4 Jan 2017
Record last updated
4 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.