- Facility Name
- 1514 BETHANY HOME MANAGEMENT, LLC
- Type / Classification
- Community Based Residential Treatment Facility, Mental Illness
- Address
- 1514 W BETHANY HOME RD, PHOENIX, AZ 85015
- Phone Number
- (602) 888-6779
- NPI Number
- 1801369632
- Authorized Official
- JAMES GUAJARDO (Manager)
- Enumeration Date
- 2019-01-03