EBH SOUTHWEST SERVICES, INC.
Residential Treatment Facilities at Turquoise Ave, Scottsdale, AZ

License number
Arizona BH4435
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MS. CHERYL MAPLESDEN CPC, CHC, CHPC
Title: DIRECTOR, REVENUE CYCLE
Phone: (615) 510-3708
Address
Address 2
12816 E Turquoise Ave, Scottsdale, AZ 85259
PO Box 670595, Dallas, TX 75267
National Provider ID: 1629499165
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EBH SOUTHWEST SERVICES, INC

Scottsdale, AZ  -  Dover, DE

Registration:
Nov 15, 2013
Addresses:
11624 E Shea Blvd, Scottsdale, AZ 85259 (Physical)
1679 S Dupont Hwy STE 100, Dover, DE 19901 (Foreign)
State ID:
F-1886584-0
Expiration:
PERPETUAL
Secretarys:
David Sack (President), 5000 E Spg St STE 650, Long Beach, CA 90815 (Physical),Rob Mahan (Secretary), 5000 E Spg St STE 650, Long Beach, CA 90815 (Physical)
Agent:
Corporation Service Company,2338 W Royal Palm Rd STE J, Phoenix, AZ 85021 (Physical)

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