Buckhorn Residential

NPI #1497534895 in Phoenix, Arizona

Provider Information

NPI Number: 1497534895
Entity Type: Organization
Organization Name: Buckhorn Residential
Primary Specialty: Lodging
Enumeration Date: Sep 25, 2023
Last Updated: Sep 25, 2023

Practice Location

Address: 1945 W VAN BUREN ST STE 1
City: Phoenix
State: Arizona
ZIP Code: 85009-3805
Phone: (480) 293-4327

Authorized Official

Name: MICHAEL JOHNSON
Title: CEO
Phone: (480) 293-4327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Lodging	177F00000X	Primary

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