| Southeastern Arizona Behavioral Health Services, Inc. | |
|
611 W Union St Benson AZ 85602-6718 | |
| (520) 586-0800 | |
| (520) 586-0116 |
| Full Name | Southeastern Arizona Behavioral Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 611 W Union St, Benson, Arizona |
| Authorized Official Name and Position | John Motowski (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5205860800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Arizona Behavioral Health Services, Inc. 611 W Union St Benson AZ 85602-6718 Ph: () - | Southeastern Arizona Behavioral Health Services, Inc. 611 W Union St Benson AZ 85602-6718 Ph: (520) 586-0800 |
| NPI Number | 1407130701 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 10/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407130701 | NPI | - | NPPES |
| BH3853 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES - LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH3698 (Arizona) | Primary |
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