| Organization Name: | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC. |
| NPI Number: | 1790773620 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 404 W Rex Allen Dr Willcox |
| State: | AZ US |
| Postal Code: | 856431120 |
| Phone Number: | 5203842521 |
| Fax Number: | 5203840543 |
| 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-2672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |