Organization
BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE
Active
Organization
BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS DAHLEN (SENIOR VP - FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
7575 E EARLL DR, SCOTTSDALE, AZ 85251-6915
(480) 941-7500
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
—
894601
—
AZ
Enumeration date
10/09/2006
Last updated
10/15/2007
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