Individual provider · Type 1 NPI
Bahati Bakanga
Mental Illness Community Based Residential Treatment Facility · Buckeye, AZ
NPI number
1124823794
Active
Practice location
23835 W Hidalgo Ave
Buckeye, AZ 85326-7008
Mailing address
4000 N Central Ave Ste 100
Phoenix, AZ 85012-3520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respite Care | 385H00000X | BH10421 (AZ) |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH10421 (AZ) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Buckeye
About NPI 1124823794
Bahati Bakanga's National Provider Identifier is 1124823794, issued on Feb 17, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Buckeye, AZ. The record was last updated on Feb 17, 2025.