| Little Colorado Behavioral Health Center Inc. | |
|
50 N. Hopi Street Springerville AZ 85938-0699 | |
| (928) 333-2683 | |
| (928) 333-5595 |
| Full Name | Little Colorado Behavioral Health Center Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 50 N. Hopi Street, Springerville, Arizona |
| Authorized Official Name and Position | John Hogeboom (CEO) |
| Authorized Official Contact | 4808317566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Colorado Behavioral Health Center Inc. Po Box 699 50 N. Hopi Street Springerville AZ 85938-0699 Ph: (928) 333-2683 | Little Colorado Behavioral Health Center Inc. 50 N. Hopi Street Springerville AZ 85938-0699 Ph: (928) 333-2683 |
| NPI Number | 1194872085 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194872085 | NPI | - | NPPES |
| 007519 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Valley Spring Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 E Main St Unit 160, Springerville, AZ 85938 Phone: 480-206-8584 |