| Organization Name: | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. |
| NPI Number: | 1124016019 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1701 N Douglas Ave Douglas |
| State: | AZ US |
| Postal Code: | 856071019 |
| Phone Number: | 5203641286 |
| Fax Number: | 5208051221 |
| NPI Enumeration Date: | 10/13/2005 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | BH-1896 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |