Haven Senior Horizons Outpatient

LBN: Haven Behavioral Services Of Phoenix, Llc
Haven Senior Horizons Outpatient is an health care organization with primary practice located at 16620 N 40Th St Suite I-1, Phoenix AZ 85032-3348. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Haven Behavioral Services Of Phoenix, Llc can be contacted via phone (602) 923-5845, or through Barnes, William Page via phone (615) 250-9091.

Contact Information

Primary practice address
16620 N 40Th St Suite I-1 Phoenix AZ 85032-3348
Phone: (602) 923-5845
Fax: (602) 923-5846
Website:
Map and Directions
Authorized official contact:
Name: Barnes, William Page
Phone: (615) 250-9091

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X BH-3156 Arizona

Profile Details

NPI number 1083875660
LBN Legal business name Haven Behavioral Services Of Phoenix, Llc
DBA Doing business as Haven Senior Horizons Outpatient
Authorized official Barnes, William Page
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2008
Last updated Jul 31st, 2009 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083875660 NPPES
Arizona MEDICAID 442893

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