Organization
BANNER PSYCHIATRIC CENTER PRO FEE
Active
Organization
BANNER PSYCHIATRIC CENTER PRO FEE
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VP FINANCE)
(480) 684-5041
Entity
Organization
Contact information
Practice address
7575 E EARLL DR, BLDG 500, SCOTTSDALE, AZ 85251-6915
(480) 941-7600
(480) 941-7608
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
11/01/2010
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