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NPI Code Detail

MEDICARE: MY BEHAVIORAL HEALTH TREATMENT CENTER (MYBHTC)

MEDICARE: MY BEHAVIORAL HEALTH TREATMENT CENTER (MYBHTC)
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
1251S00000XCommunity/Behavioral Health Agency
2261QD1600XDevelopmental Disabilities Clinic/Center
3261QH0100XHealth Service Clinic/Center
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5291U00000XClinical Medical Laboratory
6385HR2055XChild Mental Illness Respite Care
7261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1376209916
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY BEHAVIORAL HEALTH TREATMENT CENTER (MYBHTC)
Provider Business Mailing Address
First Line : 3039 W PEORIA AVE STE 102
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-5212
Country : US
Telephone Number : 602-888-6779
Fax Number : 312-610-5767
Provider Business Practice Location Address
First Line : 19840 N CAVE CREEK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-1226
Country : US
Telephone Number : 602-888-6779
Fax Number : 312-610-5767
Authorized Official
Title or Position : ADMINISTRATOR
Name : ROSALYN YOUNG
Credential :
Telephone Number : 602-888-6779
Provider Enumeration Date : 11/09/2021
Last Update Date : 11/09/2021

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Directions to “MY BEHAVIORAL HEALTH TREATMENT CENTER (MYBHTC) ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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