OrganizationActive
Sequel Tsi of Arizona, LLC Sierra Vista
NPI 1083943583 · Psychiatric Residential Treatment Facility · Hereford, AZ
Provider details
- NPI number
- 1083943583
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Sequelcare of Arizona, LLC
- Organization subpart
- Yes
- Authorized official
- Chris Banken, Executive Director(602) 335-2095
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4120 E Ramsey Rd
Hereford, AZ 85615-8917
Phone: (520) 378-6466
Fax: (520) 378-6553
Street-level locationGet directions
Mailing address
4120 E Ramsey Rd
Hereford, AZ 85615-8917
Registry dates
- Enumerated
- 2009-12-11
- Last updated
- 2009-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.