NPI 1083943583
Sequel Tsi of Arizona, LLC Sierra Vista
Practice location
- Address
- 4120 E Ramsey Rd, Hereford, AZ 85615-8917
- Phone
- (520) 378-6466
- Fax
- (520) 378-6553
Authorised official
- Name
- Chris Banken
- Title
- Executive Director
- Phone
- (602) 335-2095
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1083943583
- Entity type
- Organization
- NPI issued
- 11 Dec 2009
- Record last updated
- 11 Dec 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.