Organization · Type 2 NPI

Self

Community/Behavioral Health Agency · Scottsdale, AZ

NPI number 1912372822 Active

Practice location

5010 E Shea Blvd Ste D202
Scottsdale, AZ 85254-4570

Fax (602) 569-4378

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XLPC 14499 (AZ)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1912372822

Self's National Provider Identifier is 1912372822, issued on Dec 2, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Scottsdale, AZ. The record was last updated on Dec 2, 2015.