| Pantano Behavioral Health Services, Inc | |
|
174 S Coronado Dr Ste B Sierra Vista AZ 85635-6356 | |
| (520) 458-1044 | |
| (520) 458-1192 |
| Full Name | Pantano Behavioral Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 174 S Coronado Dr Ste B, Sierra Vista, Arizona |
| Authorized Official Name and Position | Patricia D Treeful (CEO) |
| Authorized Official Contact | 5206239833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pantano Behavioral Health Services, Inc 5055 E Broadway Blvd Ste C104 Tucson AZ 85711-3641 Ph: (520) 623-9833 | Pantano Behavioral Health Services, Inc 174 S Coronado Dr Ste B Sierra Vista AZ 85635-6356 Ph: (520) 458-1044 |
| NPI Number | 1548491053 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 07/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548491053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | BH3328 (Arizona) | Primary |
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