SAN TAN BEHAVIORAL HEALTH SVCS NPI 1083916035

NPI Information

NPI: 1083916035
Provider Name: SAN TAN BEHAVIORAL HEALTH SVCS
Classification: Respite Care - 385HR2055X
Entity Type: Organization

Specialization: Respite Care, Mental Illness, Child

Address:
9648 E. JACOB CIRCLE
MESA, AZ
ZIP 85209
Phone: (480) 588-7731
Get Directions

SAN TAN BEHAVIORAL HEALTH SVCS is a respite care and mental illness and child respite care in Mesa, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. SAN TAN BEHAVIORAL HEALTH SVCS NPI is 1083916035. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9648 E. JACOB CIRCLE
MESA, AZ
ZIP 85209
Phone: (480) 588-7731
Fax: (480) 632-0026

The provider's authorized official is Richard Warren Arbogast .
The authorized official title is Ceo and has the following contact phone number (480) 773-2384.

The enumeration date for this NPI number is 11/24/2010 and was last updated on 12/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC-10764	ARIZONA	No
2	343900000X	Non-emergency Medical Transport (VAN)				No
3	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	BH-3658	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1225206444	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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