Childrens Behavioral Health Services
LBN: Ebony House Inc
Childrens Behavioral Health Services is an health care organization with primary practice located at 1616 E Indian School Rd Suite 100, Phoenix AZ 85016-8601. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Case Management. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Ebony House Inc can be contacted via phone (602) 254-6137, or through Freeman, William via phone (602) 276-4288.
Contact Information
Primary practice address
1616 E Indian School Rd Suite 100
Phoenix AZ 85016-8601
Phone: (602) 254-6137
Fax: (602) 254-6140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Agencies / Case Management | 251B00000X | BH-3207 | Arizona |
Profile Details
| NPI number | 1518029453 |
|---|---|
| LBN Legal business name | Ebony House Inc |
| DBA Doing business as | Childrens Behavioral Health Services |
| Authorized official | Freeman, William |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 26th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518029453 | NPPES |
| Arizona | MEDICAID | 425319 |
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