| Family Behavioral Integrated Services | |
|
1130 E Main St Somerton AZ 85350-7413 | |
| (928) 627-2017 | |
| Not Available |
| Full Name | Family Behavioral Integrated Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1130 E Main St, Somerton, Arizona |
| Authorized Official Name and Position | Amanda Aguirre (PRESIDENT & CEO) |
| Authorized Official Contact | 9283157910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Behavioral Integrated Services Po Box 617 Somerton AZ 85350-0617 Ph: (928) 315-7910 | Family Behavioral Integrated Services 1130 E Main St Somerton AZ 85350-7413 Ph: (928) 627-2017 |
| NPI Number | 1063898260 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063898260 | NPI | - | NPPES |
| OTC7579 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| 075094 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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