American Eagle Behavioral Health Agency
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Somerton, AZ
NPI 1619202074 · NPPES record last updated Oct 2, 2009
Key facts
- NPI
- 1619202074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- BH-3409 (AZ)
- Legal business name
- AMERICAN EAGLE BEHAVIORAL HEALTH AGENCY
- Practice address
- 3536 W Venus Dr
Somerton, AZ 85350-7245 - Phone
- (928) 271-5550
- NPI assigned
- Oct 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Adam Hansen
- Title
- Administrator
- Phone
- (926) 271-5550
National Provider Directory
Locations
1300 S 5th Ave
Yuma, AZ 85364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | BH-3409 | AZ | Yes |
Addresses
Primary practice location
3536 W Venus Dr
Somerton, AZ 85350-7245
Mailing address
1300 S 5TH Ave
Yuma, AZ 85364-4607
Other providers in Somerton, AZ
- Ignacio Aguilar III
- Daniel Amaya
- American Eagle Boys Ranch, LLC
- Norma Arreola
- Jody Marie Attaway
- Stephen Douglas Bailey
- Miriam G Beltran
All providers in Somerton, AZ · Emotionally Disturbed Childrens' Residential Treatment Facility 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 2, 2009. 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.