Organization
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Active
Other names
SEABHS-Douglas Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLA HERNANDEZ MBA (CONTRACTS & CREDENTIALING ADMIN)
(520) 838-5513
Entity
Organization
Contact information
Practice address
1701 N DOUGLAS AVE, DOUGLAS, AZ 85607-1019
(520) 364-1286
(520) 805-1221
Mailing address
P.O. BOX 2161, 611 W. UNION STREET, BENSON, AZ 85602
(520) 586-0800
(520) 586-0116
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
BH-1896
AZ
Other
Enumeration date
10/13/2005
Last updated
06/10/2022
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