Organization Name: | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC. |
NPI Number: | 1356339261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 32 Boulevard Del Rey David Nogales |
State: | AZ US |
Postal Code: | 856219667 |
Phone Number: | 5202819189 |
Fax Number: | 5202810916 |
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-1683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |