Organization
APACHE BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ELIZABETH JOHNSON LMFT (CLINICAL DIRECTOR)
(928) 338-4811
Entity
Organization
Contact information
Practice address
249 W PONDEROSA, WHITERIVER, AZ 85941
(928) 338-4811
(928) 338-4930
Mailing address
PO BOX 1089, WHITERIVER, AZ 85941-1089
(928) 338-4811
(928) 338-4930
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397770
—
AZ
Enumeration date
09/25/2006
Last updated
05/17/2023
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