Organization
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC.
Active
Other names
SEABHS Willcox Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GUZMAN WELLS (EVP/COO)
(520) 838-5501
Entity
Organization
Contact information
Practice address
404 W REX ALLEN DR, WILLCOX, AZ 85643-1120
(520) 384-2521
(520) 384-0543
Mailing address
611 W UNION ST, BENSON, AZ 85602-6718
(520) 586-0800
(520) 586-0116
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
BH-2672
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082893
—
AZ
01
—
OTC-6143
ADHS LICENSING
AZ
Enumeration date
10/13/2005
Last updated
09/05/2025
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