| Center For Behavioral Health Phoenix Llc | |
| 
					1501 East Washington Street Phoenix AZ 85034  | |
| (602) 253-6553 | |
| (602) 253-6554 | 
| Full Name | Center For Behavioral Health Phoenix Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1501 East Washington Street, Phoenix, Arizona | 
| Authorized Official Name and Position | Jay Higham (CEO) | 
| Authorized Official Contact | 2143656112 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Center For Behavioral Health Phoenix Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100  | Center For Behavioral Health Phoenix Llc 1501 East Washington Street Phoenix AZ 85034 Ph: (602) 253-6553  | 
| NPI Number | 1801086921 | 
|---|---|
| Provider Enumeration Date | 07/25/2007 | 
| Last Update Date | 12/27/2024 | 
| Certification Date | 12/27/2024 | 
| Medicare PECOS PAC ID | 3375970882 | 
|---|---|
| Medicare Enrollment ID | O20200224000162 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801086921 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-1872 (Arizona) | Secondary | 
| 261QM2800X | Clinic/center - Methadone | (Arizona) | Primary | 
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