Provider Demographics
NPI:1275095432
Name:ALL ABOUT YOU BEHAVIORAL HEALTH CENTER INC
Entity Type:Organization
Organization Name:ALL ABOUT YOU BEHAVIORAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-273-7237
Mailing Address - Street 1:2920 N 24TH AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-5960
Mailing Address - Country:US
Mailing Address - Phone:480-534-4071
Mailing Address - Fax:480-534-4079
Practice Address - Street 1:2920 N 24TH AVE STE 240
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-5960
Practice Address - Country:US
Practice Address - Phone:480-534-4071
Practice Address - Fax:480-534-4079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management