MEDICARE: UBH OF PHOENIX LLC

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	283Q00000X	Psychiatric Hospital
2	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1437571213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UBH OF PHOENIX LLC

Provider Business Mailing Address
First Line	:	3550 E PINCHOT AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-7434
Country	:	US
Telephone Number	:	602-957-4000
Fax Number	:	602-368-2598

Provider Business Practice Location Address
First Line	:	3550 E PINCHOT AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-7434
Country	:	US
Telephone Number	:	602-957-4000
Fax Number	:	602-368-2598

Authorized Official
Title or Position	:	SR VP CFO
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3300

Provider Enumeration Date	:	01/13/2014
Last Update Date	:	06/10/2020

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Directions to “UBH OF PHOENIX LLC ” Practice Location

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