Organization
BROWN BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETURAH MATTOX SHARPE MBA/HCM, MED, M.A. (DIRECTOR/CEO)
(623) 302-4009
Entity
Organization
Contact information
Practice address
7900 N 70TH AVE STE 102, GLENDALE, AZ 85303-1336
(623) 302-4009
Mailing address
2917 W BOWKER ST, PHOENIX, AZ 85041-3477
(623) 302-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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