| Maricopa Behavioral Health Services, Llc | |
|
19395 N John Wayne Pkwy 16 Maricopa AZ 85139-2833 | |
| (993) 480-9020 | |
| Not Available |
| Full Name | Maricopa Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19395 N John Wayne Pkwy, Maricopa, Arizona |
| Authorized Official Name and Position | Frederick Thomas Westby (OWNER) |
| Authorized Official Contact | 4809939020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maricopa Behavioral Health Services, Llc Po Box 1617 Maricopa AZ 85139-1399 Ph: (480) 993-9020 | Maricopa Behavioral Health Services, Llc 19395 N John Wayne Pkwy 16 Maricopa AZ 85139-2833 Ph: (993) 480-9020 |
| NPI Number | 1538511886 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538511886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LISAC 11886 (Arizona) | Primary |
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