OrganizationActive
Boys & Girls Club of Bisbee,az,inc
NPI 1982709770 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bisbee, AZ
Provider details
- NPI number
- 1982709770
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Annette Renteria, Executive Director(520) 432-3010
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
405 Arizona St
Bisbee, AZ 85603-1503
Phone: (520) 432-3010
Fax: (520) 432-6903
Street-level locationGet directions
Mailing address
405 Arizona St
Bisbee, AZ 85603
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.