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South Eastern Arizona Behavioral Health Services, Inc.

Community/Behavioral Health Agency in Douglas, AZ · enumerated 2018 · authorized official Estella Hernandez, Contracts & Credentialing Admin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578033809

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Registry record

Entity type Organization (Type 2)
Legal business name South Eastern Arizona Behavioral Health Services, Inc.
Other name <Unavail>
Practice address 1100 N F Ave, Douglas, AZ, 85607
Fax (520) 586-6104
Enumeration date Nov 29, 2018
Last updated in NPPES Jun 10, 2022

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Estella Hernandez
Title Contracts & Credentialing Admin

Other identifiers

Identifier Type State Issuer
478436 Medicaid AZ -
OTC-9263 Other AZ ADHS LICENSING

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-06-10. Verify at npiregistry.cms.hhs.gov.
Where is South Eastern Arizona Behavioral Health Services, Inc. located?
The practice location on file with NPPES is in Douglas, AZ.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-10.