Provider Demographics
NPI:1154787463
Name:BETTER HORIZONS LLC
Entity type:Organization
Organization Name:BETTER HORIZONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO, ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARISSE
Authorized Official - Middle Name:YOLLANDE
Authorized Official - Last Name:KAMGAING
Authorized Official - Suffix:
Authorized Official - Credentials:CEO, ADMINISTRATOR
Authorized Official - Phone:602-400-7764
Mailing Address - Street 1:2204 E FIRESTONE DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-4636
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2442 E ELEANA LN
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-2314
Practice Address - Country:US
Practice Address - Phone:480-247-9993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTER HORIZONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-4784320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness