Organization · Type 2 NPI

Ebh Southwest Services, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Scottsdale, AZ

NPI number 1780005033 Active

Practice location

11624 E Shea Blvd
Scottsdale, AZ 85259-5111

Call (480) 840-2588 Map

Fax (480) 767-2701

Mailing address

PO Box 670595
Dallas, TX 75267-0595

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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NPI record

NPI: 1780005033
Entity type: Organization (Type 2)
Issued: Jan 3, 2014
Last updated: Dec 5, 2016
Status: Active
Subpart: Yes of Elements Behavioral Health, Inc.

Other names

<unavail>
Promises Scottsdale · doing business as

Authorized official

Mrs. Cheryl Maplesden, CPC, CHC, CHPC
Director of Revenue Cycle
(615) 510-3078

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780005033

Ebh Southwest Services, Inc.'s National Provider Identifier is 1780005033, issued on Jan 3, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Scottsdale, AZ. The record was last updated on Dec 5, 2016.