| Hofunity Behavioral Health Llc | |
|
4714 W St Kateri Dr Laveen AZ 85339-8200 | |
| (602) 799-2757 | |
| (480) 525-7974 |
| Full Name | Hofunity Behavioral Health Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4714 W St Kateri Dr, Laveen, Arizona |
| Authorized Official Name and Position | Tlahjonte Hopson (ADMINISTRATOR) |
| Authorized Official Contact | 6027992757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hofunity Behavioral Health Llc 7141 W Carter Rd Laveen AZ 85339-7059 Ph: (602) 799-2757 | Hofunity Behavioral Health Llc 4714 W St Kateri Dr Laveen AZ 85339-8200 Ph: (602) 799-2757 |
| NPI Number | 1699369538 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699369538 | NPI | - | NPPES |
| BH6634 | Other | AZ | AZ DEPT OF HEALTH |
| BH6635 | Other | AZ | AZ DEPT OF HEALTH |
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