Psa Behavioral Health Agency

LBN: Psa Behavioral Health Agency
Psa Behavioral Health Agency is an health care organization with primary practice located at 3271 E Queen Creek Rd , Gilbert AZ 85297-8508. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Psa Behavioral Health Agency can be contacted via phone (480) 550-3193, or through Quiros, Kimberly via phone (602) 995-1767.

Contact Information

Primary practice address
3271 E Queen Creek Rd Gilbert AZ 85297-8508
Phone: (480) 550-3193
Fax: (480) 550-3194
Website:
Map and Directions
Authorized official contact:
Name: Quiros, Kimberly
Phone: (602) 995-1767

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X OTC8455 Arizona
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1255841995
LBN Legal business name Psa Behavioral Health Agency
DBA Doing business as
Authorized official Quiros, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2017
Last updated Mar 29th, 2020 - about 4 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 1255841995 NPPES
Arizona MEDICAID 286512

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