Organization
TRIPLE R BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE E. HOCHSTRASSER (PRESIDENT, CEO)
(602) 995-7474
Entity
Organization
Contact information
Practice address
2505 W BERYL AVE, PHOENIX, AZ 85021-1607
(602) 262-2100
(602) 262-2111
Mailing address
40 E. MITCHELL DR., SUITE 100, PHOENIX, AZ 85012-2330
(602) 995-7474
(602) 973-2993
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-3532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
514617
STATE MEDICADE PROGRAM NUMBER--AHCCCS
AZ
Enumeration date
11/13/2006
Last updated
06/09/2010
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