NPI 1497534895

Buckhorn Residential

Organisation Lodging Provider Phoenix, AZ

Practice location

Address: 1945 W van Buren St STE 1, Phoenix, AZ 85009-3805
Phone: (480) 293-4327

Authorised official

Name: Michael Johnson
Title: Ceo
Phone: (480) 293-4327

Registered specialties (2)

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in Arizona →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Arizona →

Registry record

NPI: 1497534895
Entity type: Organization
NPI issued: 25 Sep 2023
Record last updated: 25 Sep 2023

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.