| Center For Behavioral Health Phoenix Llc | |
|
1501 East Washington Street Phoenix AZ 85034 | |
| (602) 253-6553 | |
| (602) 253-6554 |
| Full Name | Center For Behavioral Health Phoenix Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 East Washington Street, Phoenix, Arizona |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health Phoenix Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Center For Behavioral Health Phoenix Llc 1501 East Washington Street Phoenix AZ 85034 Ph: (602) 253-6553 |
| NPI Number | 1801086921 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Medicare PECOS PAC ID | 3375970882 |
|---|---|
| Medicare Enrollment ID | O20200224000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801086921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-1872 (Arizona) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (Arizona) | Primary |
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