Healthcare Provider Details

I. General information

NPI: 1083942098
Provider Name (Legal Business Name): UBH OF PHOENIX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 07/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 EAST PINCHOT AVENUE
PHOENIX AZ
85018
US

IV. Provider business mailing address

3550 EAST PINCHOT AVE
PHOENIX AZ
85018
US

V. Phone/Fax

Practice location:
  • Phone: 602-368-4550
  • Fax: 602-368-2598
Mailing address:
  • Phone: 602-957-4000
  • Fax: 602-368-2598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SR VP CFO
Credential:
Phone: 610-768-3300