Organization
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC
Active
Organization
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLA HERNANDEZ MBA (CONTRACTS & CREDENTIALING ADMIN)
(520) 838-5513
Entity
Organization
Contact information
Practice address
936 F AVE STE B, DOUGLAS, AZ 85607-2024
(520) 586-0800
Mailing address
611 W UNION ST, BENSON, AZ 85602-6718
(520) 586-0800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH4382
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277449
—
AZ
01
—
OTC-8376
ADHS LICENSING
AZ
Enumeration date
07/06/2017
Last updated
06/10/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up