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Organization

DAVIS BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANASTASIA DAVIS BA (PRESIDENT)
(602) 345-1047
Entity
Organization

Contact information

Practice address
6827 W CARTER RD, LAVEEN, AZ 85339-7051
(602) 345-1047
Mailing address
4307 W PARK ST, LAVEEN, AZ 85339-2203
(602) 345-1047

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
Primary
251T00000X
PACE Provider Organization
251V00000X
Voluntary or Charitable Agency

Other

Enumeration date
09/16/2019
Last updated
09/16/2019
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