| Southwest Behavioral Health Services, Inc | |
|
1545 W Broadway Ave Suite 1 & 2 Apache Junction AZ 85220-7658 | |
| (480) 671-3032 | |
| Not Available |
| Full Name | Southwest Behavioral Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1545 W Broadway Ave, Apache Junction, Arizona |
| Authorized Official Name and Position | Jeff Jorde (PRESIDENT/CEO) |
| Authorized Official Contact | 6022854285 |
| 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 1545 W Broadway Ave Suite 1 & 2 Apache Junction AZ 85220-7658 Ph: (480) 671-3032 |
| NPI Number | 1932348240 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932348240 | NPI | - | NPPES |
| 404093 | Other | AZ | AHCCCS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-3172 (Arizona) | Primary |
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