| Pascua Yaqui Centered Spirit Behavioral Health | |
|
9405 S Avenida Del Yaqui Guadalupe AZ 85283-2529 | |
| (480) 768-2021 | |
| (480) 768-2053 |
| Full Name | Pascua Yaqui Centered Spirit Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9405 S Avenida Del Yaqui, Guadalupe, Arizona |
| Authorized Official Name and Position | Theresa Ybanez (TRBHA DIRECTOR) |
| Authorized Official Contact | 5208796060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pascua Yaqui Centered Spirit Behavioral Health 7490 S Camino De Oeste Tucson AZ 85746-9308 Ph: (520) 879-6060 | Pascua Yaqui Centered Spirit Behavioral Health 9405 S Avenida Del Yaqui Guadalupe AZ 85283-2529 Ph: (480) 768-2021 |
| NPI Number | 1356415319 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356415319 | NPI | - | NPPES |
| 854580 | Medicaid | AZ | |
| 583064 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH2283 (Arizona) | Primary |
Sewa Uusim Guadalupe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-768-2057 | |
Centro De Amistad, Incorprorado Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8202 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-839-2926 Fax: 480-839-9985 | |
Pascua Yaqui Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-768-2000 Fax: 480-768-2053 | |
Pascua Yaqui Tribe Centered Spirit Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-768-2021 Fax: 480-768-2053 |