Organization
NCMC BEHAVIORAL HEALTH
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS DAHLEN (SR VP FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
928 12TH ST, GREELEY, CO 80631-4024
(970) 336-4911
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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