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Organization

SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.

Active
Other names
Benson Outpatient Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
ESTELLA HERNANDEZ MBA (CONTRACTS & CREDENTIALING ADMIN)
(520) 838-5513
Entity
Organization

Contact information

Practice address
611 W UNION ST, BENSON, AZ 85602-6718
(520) 586-6177
Mailing address
611 W UNION ST, BENSON, AZ 85602-6718

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH4804
AZ

Other

Enumeration date
05/26/2016
Last updated
06/08/2022
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