HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC
Ambulatory Health at 40 St, Phoenix, AZ

License number
Arizona BH-3156
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: MR. WILLIAM PAGE BARNES
Title: CFO/SECRETARY
Phone: (615) 250-9091
Address
Address 2
16620 N 40Th St SUITE I-1, Phoenix, AZ 85032
652 W Iris Dr, Nashville, TN 37204
National Provider ID: 1083875660
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC at bizstanding.com

HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC

Phoenix, AZ  -  Nashville, TN

Registration:
Jun 27, 2007
Addresses:
638 N 5 Ave, Phoenix, AZ 85003 (Physical)
652 W Iris Dr, Nashville, TN 37204 (Foreign)
State ID:
R-1376722-1
Entity State:
DE
Member:
Haven Behavioral Services Llc (Member), 652 W Iris Dr, Nashville, TN 37204 (Physical)
Agent:
National Registered Agents Inc,2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)

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