SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1659369569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659369569 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. |
Other Organization Name | SEABHS PHF |
Practice Address |
470 S Ocotillo Ave Benson AZ 85602-6403 |
Mailing Address |
P.o. Box 2161 611 W. Union Street Benson AZ 85602 |
Practice Telephone | 5205867737 |
Practice Fax Number | 5205867939 |
Mailing Telephone | 5205860800 |
Mailing Fax Number | 5205860116 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2010-07-27 |
Authorized Official Name | MR. JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5205860800 |
Authorized Official Credential | MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | BH-672 | AZ | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
SEABHS PHF | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467824219 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 111 W Blake St, Suite 11, Globe, AZ 85501-2177 | 2015-10-20 |
1336421973 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 441 N Grand Ave Ste 9, Nogales, AZ 85621-2729 | 2011-09-09 |
1316015316 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1940 E 11th St, Douglas, AZ 85607-2413 | 2006-11-30 |
1932156395 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 489 N Arroyo Blvd, Nogales, AZ 85621-2644 | 2006-05-30 |
1184613788 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 730-732 W. 4th St., Benson, AZ 85602 | 2005-10-17 |
1962490854 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1326 Hwy 92, Bisbee, AZ 85603-1151 | 2005-10-13 |
1134117047 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2005-10-13 |
1952399875 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2005-10-13 |
1124016019 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2005-10-13 |
1255329132 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2005-10-13 |
Street Address |
470 S OCOTILLO AVE |
City | BENSON |
State | AZ |
Zip Code | 85602-6403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659658516 | Community Bridges, Inc. | Community/Behavioral Health | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2011-11-07 |
1912161654 | Bonnie Bell | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
1154585818 | Linda Groom | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
1932363678 | Dawn Barrett | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
1881858538 | Marianne Caruso | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
1003070772 | Philip Schneider | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
1396919346 | Constance L Slay | Nurse Practitioner | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-04-19 |
1144394263 | Michael J Bruwer | Psychiatry & Neurology | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
1437651288 | Chiricahua Community Health Centers Inc | Pharmacy | 335 S Ocotillo Avenue, Benson, AZ 85602 | 2018-03-07 |
1295191641 | Caring Connections for Special Needs, LLC. | Community/Behavioral Health | 870 W 4th St, Benson, AZ 85602 | 2016-01-14 |
1396158762 | Nicole Michelle Morris | Audiologist | 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 | 2014-06-03 |
1467735217 | Josephine Anne Ellsworth | Counselor | 811 Maverick Lane, Benson, AZ 85602 | 2011-09-27 |
1730483819 | Charles Dean Kartchner | Anesthesiology | 1357 East Airport Road, Benson, AZ 85602 | 2011-01-04 |
1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
1801106844 | Tomas G. Soto | Social Worker | 611 W. Union St., Benson, AZ 85602 | 2010-10-08 |
1982929451 | Marla Jeanne Trepanier | Pharmacist | 795 W Fourth Street, Benson, AZ 85602 | 2010-03-29 |
1396910832 | Susan May Boge | Occupational Therapist | 1764 N Ocotillo Rd, Benson, AZ 85602 | 2008-04-25 |
Find all providers in zip 85602 |
Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114096278 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 876 Root Pond Rd, Benson, VT 05743-9596 | 2006-11-06 |
1386686509 | Southeastern Arizona Behavioral Health Service, Inc | Psychiatric Residential Treatment Facility | 646 W Union St, Benson, AZ 85602-6713 | 2006-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
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1366040123 | Choice Business Strategies LLC | Psychiatric Residential Treatment Facility | 29400 N 123rd Gln, Peoria, AZ 85383-4096 | 2020-10-14 |
1417565292 | Horizon Group Homes LLC | Psychiatric Residential Treatment Facility | 378 E Tropical Dr, Casa Grande, AZ 85122-5086 | 2020-07-17 |
1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
1073138673 | Hightower Behavioral Health Services | Psychiatric Residential Treatment Facility | 13206 W Crestvale Dr, Peoria, AZ 85383-5496 | 2020-06-10 |
1437773942 | Excellent Care LLC | Psychiatric Residential Treatment Facility | 14029 N 39th Ave, Phoenix, AZ 85053-5438 | 2020-06-01 |
1730701517 | Jezzob Behavioral Health LLC | Psychiatric Residential Treatment Facility | 4918 W Apollo Rd, Laveen, AZ 85339-6289 | 2020-05-14 |
1235750977 | Sagamar Behavioral Care Home, LLC | Psychiatric Residential Treatment Facility | 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 | 2020-05-05 |
1508492703 | Rehoboth LLC | Psychiatric Residential Treatment Facility | 41947 W Rosa Dr, Maricopa, AZ 85138-2550 | 2020-03-19 |
1851926661 | Cadens Health and Wellness LLC | Psychiatric Residential Treatment Facility | 5244 W Apollo Rd, Laveen, AZ 85339-6912 | 2020-03-12 |
1114552122 | Angel Heart Behavioral Health IIi LLC | Psychiatric Residential Treatment Facility | 9223 W Meadow Brook, 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503 | 2020-03-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.