Organization
BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS BEHAVIORAL HEALTH
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VICE PRESIDENT - FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
925 E MCDOWELL RD, PHOENIX, AZ 85006-2502
(602) 239-6800
(602) 239-4362
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767585
—
AZ
Enumeration date
05/19/2006
Last updated
02/26/2015
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