Provider Demographics
NPI:1366641128
Name:CBHSP ARIZONA, INC.
Entity Type:Organization
Organization Name:CBHSP ARIZONA, INC.
Other - Org Name:INSPEECH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-885-9567
Mailing Address - Street 1:7400 N ORACLE RD
Mailing Address - Street 2:SUITE 143
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6331
Mailing Address - Country:US
Mailing Address - Phone:520-885-9567
Mailing Address - Fax:520-885-9568
Practice Address - Street 1:7400 N ORACLE RD
Practice Address - Street 2:SUITE 143
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6331
Practice Address - Country:US
Practice Address - Phone:520-885-9567
Practice Address - Fax:520-885-9568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health