Organization
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER)
(520) 586-0800
Entity
Organization
Contact information
Practice address
611 W UNION ST, BENSON, AZ 85602-6718
(520) 586-0800
(520) 586-0116
Mailing address
611 W UNION ST, BENSON, AZ 85602-6718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH3698
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH3853
ARIZONA DEPARTMENT OF HEALTH SERVICES - LICENSING
AZ
Enumeration date
10/05/2011
Last updated
10/05/2011
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