Organization Name: | UPC-PHXMEM-STIU |
NPI Number: | 1144602715 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIXIE LOVRIEN (CREDENTIALING MANAGER) |
Mailing Address: | 1201 S 7th Ave Ste 150 Phoenix |
State: | AZ US |
Postal Code: | 850074075 |
Phone Number: | 6022535100 |
Fax Number: | 8668825456 |
NPI Enumeration Date: | 06/19/2015 |
NPI Last Update Date: | 06/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |