| Organization Name: | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SVC, INC. |
| NPI Number: | 1760563704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MOTOWSKI (CHIEF FINICIAL OFFICE) |
| Mailing Address: | 1193 Basyl Lane Benson |
| State: | AZ US |
| Postal Code: | 85602 |
| Phone Number: | 5202874713 |
| Fax Number: | 5202879794 |
| NPI Enumeration Date: | 10/18/2006 |
| 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-2810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |