Southeastern Arizona Behavioral Health Services, Inc., NPI 1124016019
Public Health or Welfare Agency in Douglas, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1124016019
NPI Entity Type Organization
Provider Name Southeastern Arizona Behavioral Health Services, Inc.
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1701 N Douglas Ave, Douglas, AZ, US
Provider Mailing Address P.o. Box 2161, 611 W. Union Street, Benson, AZ, US, 85602
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MBA Estella Hernandez
Official Position CONTRACTS & CREDENTIALING ADMIN
Phone 520-838-5513

Primary Taxonomy

Taxonomy Code

251K00000X

Taxonomy Name Public Health or Welfare Agency
Classification

Public Health or Welfare

Group

Agencies

License No. BH-1896
License State AZ
Description Definition to come...

Other Organization Name

SEABHS-Douglas Outpatient
Other Name

Business Address

Southeastern Arizona Behavioral Health Services, Inc.
1701 N Douglas Ave

Douglas, AZ, US

Phone: 520-364-1286
Fax: 520-805-1221

Mailing Address

Southeastern Arizona Behavioral Health Services, Inc.
P.o. Box 2161
611 W. Union Street
Benson, AZ, US
ZIP 85602
Phone: 520-586-0800
Fax: 520-586-0116

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