Sequel Tsi of Arizona, LLC Sierra Vista
NPI #1083943583 in Hereford, Arizona
Provider Information
- NPI Number
- 1083943583
- Entity Type
- Organization
- Organization Name
- Sequel Tsi of Arizona, LLC Sierra Vista
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SEQUELCARE OF ARIZONA, LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Dec 11, 2009
- Last Updated
- Dec 11, 2009
Practice Location
Authorized Official
- Name
- CHRIS BANKEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (602) 335-2095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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