Organization
MARICOPA BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK THOMAS WESTBY LISAC (OWNER)
(480) 993-9020
Entity
Organization
Contact information
Practice address
19395 N JOHN WAYNE PKWY, 16, MARICOPA, AZ 85139-2833
(993) 480-9020
Mailing address
PO BOX 1617, MARICOPA, AZ 85139-1399
(480) 993-9020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LISAC 11886
AZ
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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