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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