Provider Demographics
NPI:1144918400
Name:H2H BEHAVIORAL HEALTH TREATMENT LLC
Entity type:Organization
Organization Name:H2H BEHAVIORAL HEALTH TREATMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIDIER
Authorized Official - Middle Name:KAMARI
Authorized Official - Last Name:RUKABU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-728-3794
Mailing Address - Street 1:9201 N 25TH AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2727
Mailing Address - Country:US
Mailing Address - Phone:949-630-1715
Mailing Address - Fax:
Practice Address - Street 1:9201 N 25TH AVE STE 275
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-2727
Practice Address - Country:US
Practice Address - Phone:949-630-1715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder