Organization
ARIZONA WEST BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARTENTUS WILSON (OWNER)
(704) 747-6119
Entity
Organization
Contact information
Practice address
3001 W INDIAN SCHOOL RD STE 24, PHOENIX, AZ 85017-4164
(704) 747-6119
Mailing address
11564 W SCHLEIFER DR, YOUNGTOWN, AZ 85363-1675
(704) 747-6119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CLSG8157
AZ
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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