| Behavioral Awareness Center, Inc | |
|
2002 W Anklam Rd Tucson AZ 85745-2148 | |
| (520) 629-9126 | |
| (520) 629-9282 |
| Full Name | Behavioral Awareness Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2002 W Anklam Rd, Tucson, Arizona |
| Authorized Official Name and Position | Brackie D Sekavec (OWNER) |
| Authorized Official Contact | 5206299126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Awareness Center, Inc 2002 W Anklam Rd Tucson AZ 85745-2148 Ph: (520) 629-9126 | Behavioral Awareness Center, Inc 2002 W Anklam Rd Tucson AZ 85745-2148 Ph: (520) 629-9126 |
| NPI Number | 1770651317 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 0547695496 |
|---|---|
| Medicare Enrollment ID | O20200122003013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770651317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BH1448 (Arizona) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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