NPI 1124016019
Southeastern Arizona Behavioral Health Services, INC.
Practice location
- Address
- 1701 N Douglas Ave, Douglas, AZ 85607-1019
- Phone
- (520) 364-1286
- Fax
- (520) 805-1221
- Mailing address
- P.O. Box 2161 611 W. Union Street, Benson, AZ 85602
Authorised official
- Name
- Estella Hernandez
- Title
- Contracts & Credentialing Admin
- Phone
- (520) 838-5513
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1124016019
- Entity type
- Organization
- NPI issued
- 13 Oct 2005
- Record last updated
- 10 Jun 2022
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.