# ADVANCED BEHAVIORAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518451251
- **Authorized official:** MR. ANTHONY RAY DIQUARTO BA (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (775) 233-5082

## Contact information

- **Practice address:** 9417 N 17TH PL, PHOENIX, AZ 85020-2310
- **Practice address phone:** (520) 661-2594
- **Mailing address:** 9417 N 17TH PL, PHOENIX, AZ 85020-2310
- **Mailing address phone:** (520) 661-2594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2018
- **Last updated:** 06/17/2018