| Arizona West Behavioral Health Inc. | |
|
3001 W Indian School Rd Ste 24 Phoenix AZ 85017-4164 | |
| (704) 747-6119 | |
| Not Available |
| Full Name | Arizona West Behavioral Health Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3001 W Indian School Rd Ste 24, Phoenix, Arizona |
| Authorized Official Name and Position | Artentus Wilson (OWNER) |
| Authorized Official Contact | 7047476119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona West Behavioral Health Inc. 11564 W Schleifer Dr Youngtown AZ 85363-1675 Ph: (704) 747-6119 | Arizona West Behavioral Health Inc. 3001 W Indian School Rd Ste 24 Phoenix AZ 85017-4164 Ph: (704) 747-6119 |
| NPI Number | 1154852747 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154852747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CLSG8157 (Arizona) | Primary |
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