# AMERICAN EAGLE BEHAVIORAL HEALTH AGENCY

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

## Provider details

- **NPI number:** 1619202074
- **Authorized official:** ADAM HANSEN (ADMINISTRATOR)
- **Authorized official phone:** (926) 271-5550

## Contact information

- **Practice address:** 3536 W VENUS DR, SOMERTON, AZ 85350-7245
- **Practice address phone:** (928) 271-5550
- **Mailing address:** 1300 S 5TH AVE, YUMA, AZ 85364-4607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH-3409 | AZ | Yes |

## Other

- **Enumeration date:** 10/02/2009
- **Last updated:** 10/02/2009