Southeastern Arizona Behavioral Health Services, Inc.
Organization Active NPI Community/Behavioral Health Agency · Benson, AZ
NPI 1407130701 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1407130701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- BH3698 (AZ)
- Legal business name
- SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
- Practice address
- 611 W Union St
Benson, AZ 85602-6718 - Phone
- (520) 586-0800
- Fax
- (520) 586-0116
- NPI assigned
- Oct 5, 2011
- Organization subpart
- No
Authorized official
- Name
- John Motowski
- Title
- Chief Financial Officer
- Phone
- (520) 586-0800
Corporate family (same tax ID) 5
Practitioners 2
-
Linda Banziger, FNP, PMHNP
-
Marie Augustina Smith, APRN
National Provider Directory
- Tax ID family
- Benson Outpatient Treatment Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | BH3698 | AZ | Yes |
Addresses
Primary practice location
611 W Union St
Benson, AZ 85602-6718
Mailing address
611 W Union St
Benson, AZ 85602-6718
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH3853 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES - LICENSING |
Other providers in Benson, AZ
- Melissa Ann Simard
- Kayle Skorupski
- Constance L Slay
- Nancy Elizabeth Smith
- Tomas G. Soto
- Southeastern Arizona Behavioral Health Services, Inc.
- John Sowersby
- Stephanie Starnes
- Marcos Andres Teran
- The Evangelical Lutheran Good Samaritan Society
All providers in Benson, AZ · Community/Behavioral Health Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.