# SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SEABHS-Douglas Outpatient
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124016019
- **Authorized official:** ESTELLA HERNANDEZ MBA (CONTRACTS & CREDENTIALING ADMIN)
- **Authorized official phone:** (520) 838-5513

## Contact information

- **Practice address:** 1701 N DOUGLAS AVE, DOUGLAS, AZ 85607-1019
- **Practice address phone:** (520) 364-1286
- **Practice address fax:** (520) 805-1221
- **Mailing address:** P.O. BOX 2161, 611 W. UNION STREET, BENSON, AZ 85602
- **Mailing address phone:** (520) 586-0800
- **Mailing address fax:** (520) 586-0116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | BH-1896 | AZ | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 06/10/2022