Childrens Behavioral Health Services

LBN: Ebony House Inc
Childrens Behavioral Health Services is an health care organization with primary practice located at 1616 E Indian School Rd Suite 100, Phoenix AZ 85016-8601. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Case Management. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Ebony House Inc can be contacted via phone (602) 254-6137, or through Freeman, William via phone (602) 276-4288.

Contact Information

Primary practice address
1616 E Indian School Rd Suite 100 Phoenix AZ 85016-8601
Phone: (602) 254-6137
Fax: (602) 254-6140
Website:
Map and Directions
Authorized official contact:
Name: Freeman, William
Phone: (602) 276-4288

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Case Management 251B00000X BH-3207 Arizona

Profile Details

NPI number 1518029453
LBN Legal business name Ebony House Inc
DBA Doing business as Childrens Behavioral Health Services
Authorized official Freeman, William
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 26th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518029453 NPPES
Arizona MEDICAID 425319

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