Organization
SPRINGBROOK INC
Active
Organization
SPRINGBROOK INC
Active
Other names
Springbrook Habilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE W GREEN JR. M.ED. (CLINICAL DIRECTOR)
(602) 424-1838
Entity
Organization
Contact information
Practice address
4835 E CACTUS RD, SUITE 460, SCOTTSDALE, AZ 85254-4191
(602) 424-1838
(602) 424-7879
Mailing address
4835 E CACTUS RD, SUITE 460, SCOTTSDALE, AZ 85254-4191
(602) 424-1838
(602) 424-7879
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-2868
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
BH-2372
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
BH-3021
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886658
—
AZ
Enumeration date
10/20/2006
Last updated
12/31/2009
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