MEDICARE: ARCHES BEHAVIORAL HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1255220729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCHES BEHAVIORAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	1534 W MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-1634
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 W MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-1634
Country	:	US
Telephone Number	:	800-309-0366
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	SANDRA PATRICIA KAMANYIRE
Credential	:
Telephone Number	:	415-424-0419

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	07/18/2025

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Directions to “ARCHES BEHAVIORAL HEALTH CENTER ” Practice Location

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