Youth Evaluation & Treatment Centers

LBN: Open Hearts
Youth Evaluation & Treatment Centers is an health care organization with primary practice located at 4414 N 19Th Ave , Phoenix AZ 85015. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Open Hearts can be contacted via phone (602) 285-5550, or through Gomez, Arjelia via phone (602) 285-5550.

Contact Information

Primary practice address
4414 N 19Th Ave Phoenix AZ 85015
Phone: (602) 285-5550
Fax: (602) 285-5551
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Arjelia
Phone: (602) 285-5550

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X BH-1794 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BH-1794 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X BH-1794 Arizona
Behavioral Health & Social Service Providers / Social Worker 104100000X BH-1794 Arizona

Profile Details

NPI number 1265544324
LBN Legal business name Open Hearts
DBA Doing business as Youth Evaluation & Treatment Centers
Authorized official Gomez, Arjelia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 29th, 2020 - about 5 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 1265544324 NPPES
Arizona MEDICAID 349127

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