| Banner -- University Medical Center Phoenix Campus Behavioral Health | |
|
925 E Mcdowell Rd Phoenix AZ 85006-2502 | |
| (602) 239-6800 | |
| (602) 239-4362 |
| Full Name | Banner -- University Medical Center Phoenix Campus Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 925 E Mcdowell Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Dennis E Dahlen (SR VICE PRESIDENT - FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner -- University Medical Center Phoenix Campus Behavioral Health 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner -- University Medical Center Phoenix Campus Behavioral Health 925 E Mcdowell Rd Phoenix AZ 85006-2502 Ph: (602) 239-6800 |
| NPI Number | 1235182262 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 02/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235182262 | NPI | - | NPPES |
| 767585 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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