| Southeastern Arizona Behavioral Health Service, Inc | |
|
936 F Ave Ste B Douglas AZ 85607-2024 | |
| (520) 586-0800 | |
| Not Available |
| Full Name | Southeastern Arizona Behavioral Health Service, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 936 F Ave Ste B, Douglas, Arizona |
| Authorized Official Name and Position | Estella Hernandez (CONTRACTS & CREDENTIALING ADMIN) |
| Authorized Official Contact | 5208385513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Arizona Behavioral Health Service, Inc 611 W Union St Benson AZ 85602-6718 Ph: (520) 586-0800 | Southeastern Arizona Behavioral Health Service, Inc 936 F Ave Ste B Douglas AZ 85607-2024 Ph: (520) 586-0800 |
| NPI Number | 1932620390 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932620390 | NPI | - | NPPES |
| OTC-8376 | Other | AZ | ADHS LICENSING |
| 277449 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH4382 (Arizona) | Primary |
Cypress Inn Assisted Living Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 E 12th St, Douglas, AZ 85607 Phone: 520-364-7232 Fax: 520-364-5322 | |
Caring Connections For Special Needs, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 E 15th St, Douglas, AZ 85607 Phone: 520-639-9006 Fax: 520-721-6991 | |
Community Intervention Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 North Douglasave, Douglas, AZ 85607 Phone: 520-727-7091 Fax: 520-364-2770 | |
Child & Family Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Cochise Ave, Douglas, AZ 85607 Phone: 520-364-5150 Fax: 520-364-5703 | |
Corazon Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 936 F Ave Ste A&b, Douglas, AZ 85607 Phone: 520-836-4278 | |
Helping Ourselves Pursue Enrichment, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 N G Ave, Douglas, AZ 85607 Phone: 520-364-6767 Fax: 520-364-6543 | |
South Eastern Arizona Behavioral Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 N F Ave, Douglas, AZ 85607 Phone: 520-364-3630 Fax: 520-586-6104 |