Provider Demographics
NPI:1104667294
Name:TOGETHER BHRF
Entity type:Organization
Organization Name:TOGETHER BHRF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOJOK
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-358-7850
Mailing Address - Street 1:10423 W EDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-4652
Mailing Address - Country:US
Mailing Address - Phone:480-358-7850
Mailing Address - Fax:
Practice Address - Street 1:10423 W EDGEMONT DR
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-4652
Practice Address - Country:US
Practice Address - Phone:480-358-7850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances