<Unavail>
LBN: Southeastern Arizona Behavioral Health Service, Inc.
<Unavail> is an health care organization with primary practice located at 404 W Rex Allen Dr , Willcox AZ 85643-1120. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Southeastern Arizona Behavioral Health Service, Inc. can be contacted via phone (520) 384-2521, or through Wells, Kathy Guzman via phone (520) 838-5501.
Contact Information
Primary practice address
404 W Rex Allen Dr
Willcox AZ 85643-1120
Phone: (520) 384-2521
Fax: (520) 384-0543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Public Health or Welfare | 251K00000X | BH-2672 | Arizona |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1790773620 |
|---|---|
| LBN Legal business name | Southeastern Arizona Behavioral Health Service, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Wells, Kathy Guzman |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Sep 5th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790773620 | NPPES |
| Arizona | MEDICAID | 082893 | |
| Arizona | Other | OTC-6143 |
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