Provider Demographics
NPI:1861402687
Name:TOUCHSTONE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:TOUCHSTONE BEHAVIORAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE & ETHICS
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, CHC
Authorized Official - Phone:602-374-3397
Mailing Address - Street 1:15648 N 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-3818
Mailing Address - Country:US
Mailing Address - Phone:023-743-3976
Mailing Address - Fax:602-732-5480
Practice Address - Street 1:2150 S COUNTRY CLUB DR
Practice Address - Street 2:SUITE 35
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-6809
Practice Address - Country:US
Practice Address - Phone:480-456-9800
Practice Address - Fax:480-456-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-3992251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZBH3992OtherOBHL
AZ696351Medicaid