Arizona West Behavioral Health Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CLSG8157 Issued in AZ

Legal business name

ARIZONA WEST BEHAVIORAL HEALTH INC.

Practice address

3001 W Indian School Rd Ste 24
Phoenix, AZ 85017-4164

Phone

(704) 747-6119

NPI assigned

Mar 24, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Artentus Wilson

Title

Owner

Phone

(704) 747-6119

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1154852747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11564 W SCHLEIFER DR",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631675",
            "telephone_number": "704-747-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W INDIAN SCHOOL RD STE 24",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174164",
            "telephone_number": "704-747-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA WEST BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ARTENTUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-747-6119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CLSG8157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.