Psa Behavioral Health Agency in Phoenix - Public Health Or Welfare

Psa Behavioral Health Agency - NPI 1093929069

Psa Behavioral Health Agency is a Public Health Or Welfare in Phoenix, Arizona. Psa Behavioral Health Agency practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for Psa Behavioral Health Agency is 1093929069. The last update date is 2022-08-06.

Psa Behavioral Health Agency's current location address is 2255 W Northern Ave, Phoenix, Arizona. You can contact this provider via phone number 6029951767 and fax number 6029951863. The mailing address for Psa Behavioral Health Agency is 2255 W Northern Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Psa Behavioral Health Agency
Address 2255 W Northern Ave, Phoenix, Arizona
Phone Number 6029951767
Fax Number 6029951863
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO PRESID
Authorized Official Name Villano Larry
Telephone Number 6029951767

NPI Number Detail

NPI Number 1093929069
Provider Enumeration Date 2007-05-09
Last Updated Date 2022-08-06

Provider Mailing Address Detail

Address 2255 W Northern Ave
City Phoenix
State Arizona (AZ)
Post Code 850214936
Phone Number 6029951767
Fax Number 6029951863

Provider's Primary Taxonomy Detail

Speciality Public Health Or Welfare
Taxonomy 251K00000X
Licence No BH-2667
Definition:
Government-funded agency providing population health, disease prevention, emergency preparedness and health education services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9563 AZ AHCCCS

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FAQs about Psa Behavioral Health Agency

What is the Psa Behavioral Health Agency's unique identification number?

The Psa Behavioral Health Agency has been assigned the NPI (National Provider Identifier) Number 1093929069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Psa Behavioral Health Agency?

The Psa Behavioral Health Agency is situated at 2255 W Northern Ave, in the city of Phoenix, state of AZ, with the zip code 850214936.

What is Psa Behavioral Health Agency's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Psa Behavioral Health Agency's specialized field of practice is Public Health Or Welfare, and the corresponding taxonomy code that categorizes this area of specialization is 251K00000X.

When was the Psa Behavioral Health Agency's 1093929069 issued?

The Psa Behavioral Health Agency's 1093929069 was issued on 2007-05-09.

When was the information pertaining to Psa Behavioral Health Agency most recently updated or revised?

The details related to Psa Behavioral Health Agency, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-06.

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