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Organization

SAN TAN BEHAVIORAL HEALTH SVCS

Active
Parent organization
SAN TAN BEHAVIORAL HEALTH SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAN TAN BEHAVIORAL HEALTH SERVICES
Authorized official
MR. RICHARD WARREN ARBOGAST (CEO)
(480) 773-2384
Entity
Organization

Contact information

Practice address
9648 E. JACOB CIRCLE, MESA, AZ 85209
(480) 588-7731
(480) 632-0026
Mailing address
2451 E BASELINE ROAD, STE 430, GILBERT, AZ 85234
(480) 507-3644
(480) 632-0026

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-10764
AZ
343900000X
Non-emergency Medical Transport (VAN)
385HR2055X
Child Mental Illness Respite Care
Primary
BH-3658
AZ

Other

Enumeration date
11/24/2010
Last updated
12/09/2010
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