| Southwest Behavioral Health Services, Inc. | |
|
1700 E Don Carlos Ave Apt 101 Tempe AZ 85281-4346 | |
| (480) 829-6020 | |
| Not Available |
| Full Name | Southwest Behavioral Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1700 E Don Carlos Ave Apt 101, Tempe, Arizona |
| Authorized Official Name and Position | Jeff Jorde (PRESIDENT/CEO) |
| Authorized Official Contact | 6022579339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Behavioral Health Services, Inc. 3450 N 3rd St Phoenix AZ 85012-2331 Ph: () - | Southwest Behavioral Health Services, Inc. 1700 E Don Carlos Ave Apt 101 Tempe AZ 85281-4346 Ph: (480) 829-6020 |
| NPI Number | 1487974812 |
|---|---|
| Provider Enumeration Date | 06/08/2010 |
| Last Update Date | 06/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487974812 | NPI | - | NPPES |
| BH-3573 | Other | AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-3573 (Arizona) | Primary |
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