# CASBRA BEHAVIORAL HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Casbra Behavioral Health, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194378158
- **Authorized official:** DR. CASSANDRA BETH DIAZ DE LEON DNP, PMHNP-BC, BSN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (520) 225-8465

## Contact information

- **Practice address:** 1152 N HOHOKAM DR STE 4, NOGALES, AZ 85621-1373
- **Practice address phone:** (520) 225-8465
- **Mailing address:** 1152 N HOHOKAM DR STE 4, NOGALES, AZ 85621-1373
- **Mailing address phone:** (520) 225-8465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 07/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 374908 | — | AZ |