Tusa Azah Behavioral Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TUSA AZAH BEHAVIORAL HEALTH SERVICES

Practice address

450 W Adamsville Rd Ste B
Florence, AZ 85132-8582

Phone

(919) 673-3666

Fax

(877) 683-9564

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Pauline Azah Anagho

Title

Ceo

Phone

(919) 673-3666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1790463263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W ADAMSVILLE RD STE B",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328582",
            "telephone_number": "919-673-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W ADAMSVILLE RD STE B",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328582",
            "telephone_number": "919-673-3666",
            "fax_number": "877-683-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSA AZAH BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "ANAGHO",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "AZAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-673-3666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Florence, AZ
• Providers in Florence, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.